Tip 26: hypoxic-ischaemic encephalopathy (HIE) stages

The Sarnat stages of encephalopathy are:

1 (mild) – hyperalert, normal tone, weak suck, normal CFM.

2 (moderate) – lethargic, hypotonic, brisk tendon reflexes, weak or absent suck, clinical or CFM seizures.

3 (severe) – comatose, flaccid, absent tendon & primitive reflexes.

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