Signs | 0 | 1 | 2 | 3 |
Suprasternal indrawing | Absent | Present | ||
Scalene retractions | Absent | Present | ||
Wheezing | Absent | Expiratory only | Inspiratory and expiratory | Audible without stethoscope/silent chest with minimal air entry |
Air entry | Normal | Decreased at bases | Widespread decrease | Absent/minimal |
Oxygen saturation on room air | >93% | 90 to 93% | <90% | |
Severity classification | PRAM clinical score | |||
Mild | 0 to 4 | |||
Moderate | 5 to 8 | |||
Severe | 9 to 12 | |||
Impending respiratory failure | 12+ following lethargy, cyanosis, decreasing respiratory effort, and/or rising pCO2 |
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