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Reaction Level Scale (RLS85) Scale to evaluate the neurologic status of patients after head trauma or neurosurgery. |
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|---|---|---|
| 1 | Alert, with no delay in response (responds without stimulus). | |
| 2 | Drowsy or confused, but responds to light stimulation. | |
| 3 |
Very drowsy or confused, but responds to strong stimulation. |
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| 4 |
Unconscious; localizes (moves a hand towards) a painful stimulus but does not ward it off. |
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| 5 | Unconscious; makes withdrawing movements following a painful stimulus. | |
| 6 |
Unconscious; stereotypic flexion movements following painful stimuliery. |
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| 7 | Unconscious; stereotypic extension movements following painful stimuli. | |
| 8 | Unconscious; no response to painful stimuli. | |
Reference
Stalhammer D, Starmark JE. Assessment of responsiveness in head injury patients. The Glasgow Coma Scale and some comments on alternative methods. Acta Neurochir. 1986; Supplement 36: 91-94.
Starmark J-E, Stalhammer D, Holmgren E. The reaction level scale (RLS85). Manual and guidelines. Acta Neurochir. 1988; 91: 12-20.
Starmark J-E, Stalhammer D, et al. A comparison of the Glasgow coma scale and the Reaction Level Scale (RLS85). J Neurosurg. 1988; 69: 699-706.