A Medical Technique To Assess Consciousness

What Is a Sternal Rub?

A Medical Technique to Assess Consciousness

What is a Sternal Rub?

A sternal rub is a medical technique used to assess a patient's level of consciousness. It involves firmly rubbing the sternum, or breastbone, with the knuckles or fingers.

How is a Sternal Rub Performed?

To perform a sternal rub, the examiner places their knuckles or fingers on the patient's sternum and rubs firmly in a circular motion for several seconds. The patient's response is then observed.

What is a Positive Sternal Rub?

A positive sternal rub is when the patient responds to the stimulus by opening their eyes, moving their limbs, or making any other voluntary movement.

What is a Negative Sternal Rub?

A negative sternal rub is when the patient does not respond to the stimulus at all.

When is a Sternal Rub Used?

A sternal rub is typically used when a patient is unconscious or semi-conscious and there is a need to assess their level of consciousness. It can also be used in situations where the patient is suspected of having a spinal cord injury.

Conclusion

The sternal rub is a simple but effective technique that can be used to quickly assess a patient's level of consciousness. It is an important part of the physical examination and can help to guide further medical management.