"improving intensive care in Scotland"

Riker Sedation-Agitation Scale

7

Dangerous Agitation

Pulling at endotracheal tube (ETT), trying to remove catheters, climbing over bedrail, striking at staff, thrashing side-to-side.

6

Very Agitated

Does not calm down despite frequent verbal reminding of limits, requires physical restraints, biting ETT.

5

Agitated

Anxious or mildly agitated, attempting to sit up, calms down to verbal instructions.

4

Calm and Cooperative

Calm, awakens easily, follows commands.

3

Sedated

Difficult to arouse, awakens to verbal stimuli or gentle shaking but drifts off again, follows simple commands.

2

Very Sedated

Arouses to physical stimuli but does not communicate or follow commands, may move spontaneously.

1

Unarousable

Minimal or no response to noxious stimuli, does not communicate or follow commands.

 

Backwards Button