South Dakota Personal Injury Attorneys > South Dakota Brain Injury Lawyers > Brain Injury Symptoms > RANCHOS LOS AMIGOS SCALE

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Verdicts and Settlements

Birth Injury Verdict

$38.75 million. Failure to perform a timely C-section resulting in serious injury.

Diagnosis Delay

$9.728 million. Delayed cancer diagnosis, causing permanent colostomy and partial removal of the liver.

Brain Injury / Birth Injury

$6.5 million. Nursing staff failed to monitor vital signs in post-cesarean patient resulting in seizure activity and severe brain damage.

Slip and Fall Settlement

$6 million. Premises liability claim resulting in severe brain damage to husband and father.

Ranchos Los Amigos Scale

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South Dakota: Brain Injury Symptoms

The Rancho Los Amigos scale measures the ability of cognitive functioning in a person who has experienced a traumatic brain injury. Many South Dakota brain injury victims have their cognitive levels measured by this method. There are a total of ten levels in the scale as follows.

Level One: No response, total assistance

No change in behavior after exposure to various stimuli

Level Two: Generalized response, total assistance

Shows generalized reflex response to painful stimuli
Responds to repeated auditory stimuli
Responds to external stimuli with physiological changes
Responses are significantly delayed

Level Three: Localized response, total assistance

Shows withdrawal or vocalization to painful stimuli
Turns away or to auditory stimuli
Blinks when presented with a light
Responds to discomfort
Inconsistently responds to basic commands
May respond to family or friends

Level Four: Confused or agitated, maximal assistance

Attempts to remove restraints or tubes or leave the bed
May sit, reach or walk without purpose
No short term memory
May become aggressive or experience mood swings
Incoherent or inappropriate words

Level Five: Confused inappropriate, not agitated, maximal assistance

Alert and not agitated
Not oriented to people, places or times
Brief periods of sustained attention
Confusion of past and present
Unable to learn new tasks
Able to converse for brief periods, upon commands

Level Six: Confused, appropriate, moderate assistance

Vague recognition of hospital staff
Consistently follows basic directions
Verbalizations are appropriate
Supervised, but carries over some information about simple tasks
Unaware of impairments or difficulties

Level Seven: Automatic, appropriate, minimal assistance

Consistently oriented to people, place and time
Overestimates abilities
Little supervision for new learning
Uncooperative
Carries over information about basic skills

Level Eight: Purposeful, appropriate, stand-by assistance

Depressed, self-centered and irritable
Independently completes tasks
Able to recall past and recent events
Requires no assistance on newly learned tasks
Able to recognize inappropriate behavior

Level Nine: Purposeful, appropriate, stand-by assistance on request

Can recall daily schedule
Aware of impairments or disabilities
Aware of other’s feelings
Able to think about consequences

Level Ten: Purposeful, appropriate, modified independent

Able to handle multiple tasks
Social interaction is consistently appropriate
Anticipates impact of disabilities on daily activities
Independently carries out household tasks