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Disability

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Once the circulation has been assessed and any required resuscitation started, a brief neurological assessment is undertaken. Rather than a full Glasgow Coma Score, a quicker system is the 'AVPU' scheme described in the submenu.

The pupillary response to light is checked. A normal response is a brisk and symmetrical constriction.

When examining for disability in the patient with major burns, one must be aware that a decreased level of consciousness may be due to:

  • hypoxaemia
  • carbon monoxide poisoning
  • hypovolaemia e.g. from excessive fluid losses from the burn or due to haemorrhage associated with concomitant trauma

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