Table 1.
Parameter | Score |
GCS | |
15 | 4 |
12-14 | 3 |
8-11 | 2 |
≤ 7 | 1 |
Pulse rate (beats/min) | |
60-100 | 4 |
50-59 or 101-130 | 3 |
40-49 or 131-160 | 2 |
≤ 39 or ≥161 | 1 |
Respiration rate (breaths/min) | |
12-18 | 4 |
8-11 or 19-24 | 3 |
5-7 or 25-30 | 2 |
≤ 4 or ≥ 31 | 1 |
Electrocardiogram | |
Sinus rhythm | 4 |
SVES, VES | 3 |
Absolute arrhythmia; polymorphic VES | 2 |
Ventricular tachycardia, ventricular fibrillation, asystole | 1 |
Systolic blood pressure (mmHg) | |
120-140 | 4 |
100-119 or 141-159 | 3 |
80-99 or 160-229 | 2 |
≤ 79 or ≥ 230 | 1 |
Arterial oxygen saturation | |
≥ 96 | 4 |
91-95 | 3 |
86-90 | 2 |
≤ 85 | 1 |
Pain | |
None | 4 |
Mild | 3 |
Severe | 2 |
The maximum score is 28; the minimum is 10. SVES, supraventricular premature contractions; VES, premature ventricular contractions.