Disability: Neurological Status

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  4. Disability: Neurological Status

A rapid neurological assessment should occur as a part of the primary survey to assess conscious state. Inadequate oxygenation caused by smoke inhalation and toxins may affect conscious state.


  1. Assess consciousness.
  2. Check blood glucose.

 Assess Consciousness

Perform a rapid neurological assessment using the AVPU mnemonic:


V – Responding to Verbal stimuli

P – Responding to Painful stimuli


Examine pupils are responding appropriately to light.

An altered level of consciousness indicates the need for repeated evaluation of the patient’s oxygenation, ventilation, and perfusion status. A comprehensive Glasgow Coma Scale will be completed as a part of the secondary survey


Check blood glucose levels

Rule out metabolic cases of altered consciousness, such as diabetes. Ensure that any alterations in level of consciousness are not related to a metabolic cause.


The Alfred Hospital gratefully acknowledges the ongoing support and contribution of Skilled Medical in funding this project.  For more information on Skilled Medical, please visit www.skilledmedical.com
Supported by:

Ambulance Victoria The Alfred Victorian Adult Burn Services at The Alfred The Royal Children's Hospital Melbourne