Ontario Paramedic Practice Exam

What does the 'P' in the AVPU scale stand for?

1. Pain response

2. Physical examination

3. Positive identification

4. Pedal response

The correct answer is: Pain response

In the AVPU scale, the 'P' stands for "Pain response." This scale is used in emergency medical services to quickly assess a patient’s level of consciousness and responsiveness. It categorizes the patient's reaction based on four criteria: Alert, Verbal, Pain, and Unresponsive. When a patient is evaluated under the 'Pain' category, it indicates that the individual does not respond to verbal stimuli but will exhibit a response when painful stimuli are applied, such as a pinch or sternal rub. This is significant as it helps paramedics determine the level of consciousness and identify potential issues with the patient’s neurological status or level of brain function. Being able to assess a patient's reaction to pain can provide critical information for further interventions and treatment decisions in emergency situations.