Table 2.

The Pediatric Respiratory Assessment Measure (PRAM)

Signs	0	1	2	3
Suprasternal muscle contraction	Absent		Present
Scalene muscle contraction	Absent		Present
Air entry*	Normal	Decreased at bases	Widespread decrease	Absent/minimal
Wheezing*	Absent	Expiratory only	Inspiratory and expiratory	Audible without stethoscope/silent chest with minimal air entry
O2 saturation	≥95%	92%-94%	<92%

*in case of asymmetry, the worst lung is rated.