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Rancho Los Amigos Scale/ The Levels of Coma


 

 

Erin Bigler, Ph.D. of Brigham Young University explains the impact of frontal lobe injury on behavior. Click below for more videos.

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By Attorney Gordon S. Johnson, Jr.

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There are two primary coma scales that are used with someone who has suffered a severe brain injury, the Glasgow Coma Scale (GCS) and the Rancho Los Amigos Scale. While both scales have significant limitations, the GCS is more helpful in the first days after injury, while the Rancho Scale is better for predicting outcome as survivor begins to emerge from the coma. The GCS is based solely on specific neurological function while the Rancho Scale is focused more on behavior and gradients of recovery. Neither scale has any predictive value in Mild TBI or concussion. Below is the Rancho Scale. For Our Treatment of Severe Brain Head Injuries, click here. For Our Primer on Severe Head Injury, click here.

Rancho Los Amigos Scale

I. No Response

A person at this level will:

II. Generalized Response

A person at this level will:

III. Localized Response

A person at this level will:

IV. Confused-Agitated

A person at this level will:

V. Confused-Inappropriate, Non-Agitated

A person at this level will:

VI. Confused-Appropriate

A person at this level will:

VII. Automatic-Appropriate

A person at this level will:

VIII. Purposeful-Appropriate

A person at this level will:

© Los Amigos Research and Educational Institute (LAREI), 1990

For the full text in pdf format, go to Rancho Los Amigos National Rehabilitation Center

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Understanding Coma

Rancho Los Amigos Scale/ The Levels of Coma

Objectives of Neurosurgery

A Guide to Brain Anatomy

 

Attorney Gordon S. Johnson, Jr.

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