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Brainstem Reflex Score (BRS) of Geocadin et al Following a Cardiac Arrest

Description

Geocadin et al developed a brainstem reflex score (BRS) for evaluating a patient who has had a cardiac arrest. It can help to identify patients who may or who may not have a good neurological recovery. The authors are from the Johns Hopkins University and the Medical College of Wisconsin.


Patient selection: cardiac arrest

 

Reflexes assessed:

(1) pupillary

(2) corneal

(3) oculocephalic (doll's eye)

(4) cough or gag

(5) spontaneous breathing

 

Reflex

Points

absent

0

present

1

 

BRS =

= SUM(points for all 5 reflexes)

 

Interpretation:

• minimum score: 0

• maximum score: 5

• The higher the score the better the outome.

• The faster the rate of improvement the better the outcome.


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