Variable | 0 points | 1 point | 2 points | Total |
Heart rate per minute | <90 beats | 90 to 109 beats | ≥110 beats | |
Respiratory rate per minute | ≤18 breaths | 19 to 30 breaths | >30 breaths | |
Restlessness: Nonpurposeful movements | None | Occasional, slight movements | Frequent movements | |
Paradoxical breathing pattern: Abdomen moves in on inspiration | None | Present | ||
Accessory muscle use: Rise in clavicle during inspiration | None | Slight rise | Pronounced rise | |
Grunting at end-expiration: Guttural sound | None | Present | ||
Nasal flaring: Involuntary movement of nares | None | Present | ||
Look of fear | None | Eyes wide open, facial muscles tense, brow furrowed, mouth open, teeth together | ||
Total |
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