Clinical indicator | Subscores (points) |
---|---|
Heart rate (beats/minute), points | Deviation from normal ranges (0: normal value; 1: mild deviation; 2: moderate deviation; 4: severe deviation) by age group (0-3 months, 3-12 months, 1-4 years, 4-12 years, >12 years) |
Systolic blood pressure (mmHg) | |
Respiratory rate (breaths/minute) | |
Respiratory effort | 0: normal; 1: mild; 2: moderate; 4: severe/any apnea |
Oxygen saturation (%) | 0: >94%; 2: ≤90% |
Oxygen therapy | 0: room air; 2: oxygen therapy <4 l/minute or <50%; 4: oxygen therapy ≥4 l/ minute or ≥ 50% |
Capillary refill time | 0: <3 seconds; 4: ≥ 3seconds |