Table 1.
Burch-Wartofsky Point Scale
| Thermoregulatory Dysfunction | |
| Temperature (°F/°C) | |
| 99 to 99.9 | 37.2 to 37.7 | 5 |
| 100 to 100.9 | 37.8 to 38.2 | 10 |
| 101 to 101.9 | 38.3 to 38.8 | 15 |
| 102 to 102.9 | 38.9 to 39.4 | 20 |
| 103 to 103.9 | 39.4 to 39.9 | 25 |
| ≥ 104.0 |≥ 40.0 | 30 |
| Central Nervous System Effects | |
| Agitation | 10 |
| Delirium/Psychosis/Extreme lethargy | 20 |
| Seizure/Coma | 30 |
| Gastrointestinal/hepatic Dysfunction | |
| Diarrhea/nausea/vomiting/abdominal pain | 10 |
| Unexplained jaundice | 20 |
| Cardiovascular Dysfunction | |
| Heart rate | |
| 99 to 109 | 5 |
| 110 to 119 | 10 |
| 120 to 129 | 15 |
| 130 to 139 | 20 |
| ≥ 140 | 25 |
| Atrial fibrillation | 10 |
| Heart failure | |
| with pedal edema | 5 |
| with bibasilar rales | 10 |
| with pulmonary edema | 15 |
| History of Precipitating Factors | |
| Present | 10 |
| Absent | 0 |
A score of > 45 or more is suggestive of thyroid storm, a score of 25–44 suggests impending thyroid storm and thyroid storm is unlikely if the score is < 25