Patient selection: alcohol intoxication in the Emergency Department
Tasks:
(1) speech quality and mentation (response content)
(2) gross motor skills (stability on sitting, standing and walking)
(3) eye movements (tracking a moving finger with eyes and nystagmus)
(4) coordination with target pursuit (touching finger to examiner's finger)
(5) fine motor skills (ability to trace a curve between 2 printed lines on a piece of paper)
Finding
|
Points
|
task done perfectly
|
0
|
task done adequately but not perfectly
|
1
|
task done poorly
|
2
|
task attempted but not completed
|
3
|
unable to comply
|
4
|
If the patient refuses to perform a task then it is unscored.
total score =
= SUM(points for all of the tasks completed)
reference score =
= 4 * (number of tasks completed)
HII =
= (total score) / (reference score)
Interpretation:
• minimum total score: 0
• maximum total score: 20
• minimum HII: 0 (all tasks done perfectly)
• maximum HII: 1 (maximal impairment)