FOUR Score
Coma scale usable in intubated patients.
RESULT
FOUR Score
What is FOUR Score?
Coma scale usable in intubated patients. FOUR Score is intended for use in: Adults.
How to Use the FOUR Score Calculator
- Enter Eye response.
- Enter Motor response.
- Enter Brainstem reflexes.
- Enter Respiration.
- Click Calculate to see your result and interpretation.
Formula & Version
This calculator uses formula version 1.0, last reviewed September 2026.
Clinical Considerations & Limitations
- Requires bedside assessment of brainstem reflexes and respiratory pattern by a trained examiner — this tool only sums pre-scored components.
References
- Wijdicks EF et al., Ann Neurol 2005;58:585-593
Frequently Asked Questions
What is FOUR Score?
Coma scale usable in intubated patients.
Who is FOUR Score intended for?
Adults. Always confirm applicability to your specific patient before use.
What are the limitations of FOUR Score?
Requires bedside assessment of brainstem reflexes and respiratory pattern by a trained examiner — this tool only sums pre-scored components.
What formula or reference does FOUR Score use?
Wijdicks EF et al., Ann Neurol 2005;58:585-593
Is FOUR Score a diagnosis?
No. FOUR Score produces a score or estimate to support clinical decision-making — it is not a diagnosis and should be interpreted alongside full clinical judgement.
Medical Disclaimer: Medical calculators are provided for informational and educational purposes only. Results should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always verify results with a qualified healthcare professional.
