Skip to main content
. 2008 Jan 30;86(3):205–209. doi: 10.2471/BLT.08.041814

Table 2. Signs and symptoms by organ system and severity category.

Organ system Severity of symptoms
Fatal High Moderate Low
Gastrointestinal Death Massive haemorrhage
Gut perforation
2nd or 3rd degree burns
Severe dysphagia Diarrhoea
Vomiting
Bloody stools
Jaundice Abdominal cramping
Loss of appetite
Nausea
Oral irritation
Constipation

Respiratory Death Cyanosis and respiratory depression
Pulmonary oedema
Respiratory arrest Diffuse radiographic abnormalities
Pleuritic chest pain
Respiratory depression
Bronchospasm
Dyspnoea Cough
Airway irritation
Rhinitis
Sneezing

Nervous Death Coma
Paralysis
Seizure
Stupor
Widespread neurologic impairment Confusion
Hallucinations
Blurred vision
Ataxia
Slurred speech
Syncope
Hearing loss
Localized neuropathy/ paraesthesias Hyperactivity
Headache
Profuse sweating
Dizziness
Tremor
Tinnitus
Drowsiness

Cardiovascular Death Bradycardia: HR < 40 adults, < 60 children, < 80 neonates
Tachycardia: HR > 180 adults, > 190 children, > 200 neonates
Cardiac arrest
Myocardial infarction
Shock Bradycardia: HR 40–50 adults, 
60–80 children, 80–90 neonates
Tachycardia: HR 140–180 adults, 160–190 children, 160–200 neonates
Chest pain
Conduction disturbance
Hypertension
Hypotension Isolated extrasystoles
Mild transient hypertension

Metabolism Death Acid/base disturbance (pH < 7.15 or > 7.7)
Severe electrolyte imbalance Elevated anion gap
Acidosis (pH 7.15–7.30)
Alkalosis (pH 7.60–7.69) Fever of short duration
Mild hyperglycaemia

Renal Death Anuria
Renal failure Haematuria
Oliguria
Proteinuria Polyuria

Muscular Death Muscle rigidity and rhabdomyolysis
Compartment syndrome Fasciculations
Rigidity
Weakness Muscle weakness
Muscle pain

Dermatologic Death Burns: 2nd degree > 50% total BSA
Burns: 3rd degree of > 2% BSA Bullae
Burns: 2nd degree < 50% BSA
Burns: 3rd degree of < 2% BSA Oedema, swelling, Erythema, irritation
Urticaria

Ocular Death Corneal ulcer
Corneal perforation
Loss of vision Corneal abrasion
Ocular burn
Visual changes Lacrimation
Mydriasis
Miosis
Pain/ conjunctivitis

Other Death Fatigue
Malaise

BSA, body surface area; HR, heart rate.
Based on references 22 and 30.