0	1	2	3
Heart rate	<100	100–119	129–139	≥140
Respiratory rate	<18	18–23	24–29	≥30
Systolic pressure	<140	140–159	160–179	≥180
Temperature	<37	37–37.9	38–38.9	≥39
Sweating	Nil	Mild	Moderate	Severe
Posturing during episodes	Nil	Mild	Moderate	Severe