emergency-medicine neurology critical-care
FOUR Score (Full Outline of UnResponsiveness)
Coma scale assessing eye response, motor response, brainstem reflexes, and respiration. Outperforms GCS for intubated patients.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Dimeticone · Topical pediculicide (silicone-based)
- Sodium phenylbutyrate · Ammonia scavenger (alternative pathway)
- Docusate sodium · Stool softener (anionic surfactant)
- Erythromycin · First-Generation Macrolide — Penicillin Allergy Alternative / Gastroparesis Prokinetic
- Chloramphenicol · Amphenicol — Meningitis (Alternative) / Topical Eye Infections
- Teicoplanin (Burns — MRSA Alternative) · Antibiotic — Glycopeptide
Pathways
- Acute Stroke / TIA Assessment · NICE NG128; RCP Stroke Guidelines 2023
- Status Epilepticus (Adults) · NICE CG137; ESEM guidelines; RCP Neurology Guidelines
- Acute Stroke Management · NICE NG128 / RCP 2023
- TIA Assessment (ABCD2) · NICE NG128 / NICE CG68
- Bacterial Meningitis (Adults) · NICE CG102 / BIA 2016
- Parkinson's Disease Management · NICE NG71 2017
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.