Table 3-2. Four Levels of the AVPU Scale

AVPU Level Level of Consciousness
A Alert. The patient is alert, awake and responds to voice. The patient is oriented to time, place and person. The triage nurse is able to obtain subjective information.
V Verbal. The patient responds to verbal stimuli by opening their eyes when someone speaks to them. The patient is not fully oriented to time, place, or person.
P Painful. The patient does not respond to voice, but does respond to a painful stimulus, such as a squeeze to the hand or sternal rub. A noxious stimulus is needed to elicit a response.
U Unresponsive. The patient is nonverbal and does not respond even when a painful stimulus is applied.

Source: Emergency Nurses Association, 2000.

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