Sign | 0 | 1 | 2 | 3 |
---|---|---|---|---|
Tone | Normal | Hyper | Hypo | Flaccid |
Level of consciousness | Normal | Hyperalert, stare | Lethargic | Comatose |
Fits | Normal | Infrequent <3/day | Frequent >2/day | Â |
Posture | Normal | Fisting, cycling | Strong distal flexion | Decerebrate |
Moro | Normal | Partial | Absent | Â |
Grasp | Normal | Poor | Absent | Â |
Suck | Normal | Poor | Absent/ bites | Â |
Respiration | Normal | Hyperventilation | Brief apnoea | Apnoeic |
Fontanelle | Normal | Full, not tense | Tense | Â |