Distribution of total Glasgow Coma Scale scores and scores for eye response, motor response, and verbal response. For every 1-point increase in the total FOUR score, the odds of in-hospital mortality were reduced by an estimated 15% (odds ratio, 0. Stephanie goes to visit the friend and discovers she has badly injured her hand and is no longer working. Respiration pattern: R4 = not intubated, regular breathing pattern; R3 = not intubated, Cheyne-Stokes breathing pattern; R2 = not intubated, irregular breathing; R1 = breathes above ventilatory rate; R0 = breathes at ventilator rate or apnea. For 156 (78%) of the 200 ratings, the brainstem component of the FOUR score received the maximal score.

The difference is that there isn't one intentionally hurtful or hateful sentiment or thought in the whole series and the stereotypes are used as shortcuts for painting vivid descriptions and settings. All of this pales in comparison, though, with an even greater danger Stephanie faces, when, homeless and broke, she and her hamster Rex move in with a vice cop Joe Morelli. my only beef was this: after the steamy love connection, stephanie (and we the readers) are faced with the cold reality of the morning after, when morelli's hair is now too long (no longer sexy) and he fails to meet her high standards of having a cookie jar in his kitchen. An ideal coma scale would be reliable (measures what it is supposed to measure), valid (yields the same results with repeated testing), linear (gives all components equal weight), and easy to use (provides simple instructions without the need for tools or cards).Despite being odd, Sally is very good at codes and he deciphers Maxine's code in a matter of minutes. Louisa Brannigan is a no-nonsense, hardworking press secretary, fighting her way to the top of Capitol Hill, with no help from her annoying neighbor, Pete Streeter.

CONCLUSION: The interrater agreement of FOUR score results was excellent among medical intensivists. The FOUR Score is a clinical grading scale designed for use by medical professionals in the assessment of patients with impaired level of consciousness. Has longtime lust object Joe Morelli's grandmother gotten Stephanie pregnant by putting the Evil Eye on her? Along the way she interviews Maxine's mother and her friend Margie, learning that someone else has been visiting them and demanding Maxine's whereabouts, going so far as to scalp Mrs.Within the first 30 pages, I knew I would enjoy it more than the previous three (and they themselves weren't bad at all).