Assessment and prioritization

AVPU

Alert, Verbal, Pain, Unresponsive

A four-level scale for level of consciousness, used as a rapid alternative to the more detailed Glasgow Coma Scale.

What each letter stands for

  1. 1 Alert — awake and responsive without prompting.
  2. 2 Verbal — responds when spoken to.
  3. 3 Pain — responds only to a painful stimulus.
  4. 4 Unresponsive — no response to any stimulus.

How it gets tested

Asked as an ordering item: the scale runs from most to least responsive, so a patient who answers when spoken to is V, not A.

Related terms

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