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Understanding Excessive Daytime Sleepiness is essential for diagnosing sleep disorders — and one of the most trusted, globally validated tools for this is the Epworth Sleepiness Scale (ESS). In this video, Dr. Manvir Bhatia, Senior Neurologist, Sleep Specialist, and Founder of the Sleep Medicine Institute, breaks down the ESS in a simple, practical, and highly applicable way for all healthcare professionals, sleep technologists, and students of Sleep Medicine. 📌 What is the Epworth Sleepiness Scale (ESS)? The Epworth Sleepiness Scale is a self-administered questionnaire developed in 1991 by Dr. Murray Johns at Epworth Hospital, Melbourne. It is designed to measure Excessive Daytime Sleepiness (EDS) — a condition where a person feels sleepy during times when they should normally be alert. ESS evaluates how likely a person is to doze off in 8 everyday situations. These include both passive scenarios (like reading or watching TV) and active ones (like sitting and talking). 📌 What ESS Measures ESS provides: A numerical score from 0–24 A quick screening for sleepiness A baseline for treatment follow-ups A way to differentiate fatigue from true sleepiness It has been validated worldwide and translated into multiple languages, making it one of the most widely used tools in clinical Sleep Medicine. 📌 Clinical Uses of ESS ESS is extremely useful for screening patients with: ✔ Obstructive Sleep Apnea (OSA) ✔ Hypersomnia & Narcolepsy ✔ Idiopathic Hypersomnia ✔ Insufficient Sleep Syndrome ✔ Chronic Sleep Restriction It is also commonly used: During the first consultation As part of a PSG (Polysomnography) workup To track treatment response Alongside other tools like STOP-BANG, Berlin Questionnaire, and Hypersomnia Severity Scale 📌 The 8 ESS Situations (Explained in the Video) Each situation is scored from 0 to 3, based on the likelihood of dozing off: Sitting and reading Watching television Sitting inactive in a public place (meeting, theatre, prayer hall) As a passenger in a car for 1 hour Lying down to rest in the afternoon Sitting and talking to someone Sitting quietly after lunch without alcohol Sitting in a car, stopped in traffic These help assess passive vs active sleepiness — an important distinction in clinical evaluation. 📌 How to Interpret ESS Scores 0–10 → Normal / Mild Sleepiness 11–15 → Moderate Excessive Daytime Sleepiness 16+ → Pathological Sleepiness (Needs urgent evaluation) High scores strongly indicate the need for: 👉 A Sleep Study (PSG) 👉 MSLT / MWT (if hypersomnia suspected) 👉 Comprehensive sleep evaluation 📌 Example Case (Discussed in the Video) A 42-year-old patient presenting with weight gain, snoring, and daytime dozing scored 16 on ESS — strongly suggesting pathological sleepiness requiring further evaluation. 📌 Limitations of ESS Like all subjective tools: It depends on honesty and self-awareness Cannot identify the cause of sleepiness Should be combined with objective tests Yet, ESS remains one of the most reliable, quick, and globally accepted screening tools in Sleep Medicine. 📌 About Sleep Medicine Institute (SMI) At Sleep Medicine Institute (SMI), founded by Dr. Manvir Bhatia, we provide: ✔ Basic Sleep Medicine Courses ✔ Advanced Programs ✔ Specialty modules (EEG, Dentistry, ENT, Pediatrics, etc.) ✔ Practical Observerships ✔ Hands-on Sleep Study Training (PSG, CPAP titration, interpretation) SMI is India’s first comprehensive, online+practical learning platform dedicated to Sleep Medicine. 📞 Contact & Enrollment 📞 +91 9355107199 🌐 www.sleepmedicineinstitute.in For course inquiries, training, collaborations, or clinical learning — contact us anytime. #EpworthSleepinessScale #ESS #SleepinessScale #SleepStudy #ExcessiveDaytimeSleepiness #SleepMedicineInstitute #DrManvirBhatia #SleepHealth #SleepScience #Polysomnography #PSG #SleepDisorders #Narcolepsy #Hypersomnia #SleepEducation #SleepMedicineCourse #SleepTechnologistTraining