Table 1.

Respiratory Distress Observation Scale^© (Margaret L. Campbell, PhD, RN, 19 February 2009).

Variable	0 points	1 point	2 points	Total
Heart rate per minute	<90 beats	90–109 beats	≥ 110 beats
Respiratory rate per minute	≤18 breaths	19–30 breaths	>30 breaths
Restlessness: non-purposeful movements	None	Occasional, slight movements	Frequent movements
Paradoxical breathing pattern: abdomen moves in on inspiration	None		Present
Accessory muscle use: rise in clavicle during inspiration	None	Slight rise	Pronounced rise
Grunting at end-expiration: guttural sound	None		Present
Nasal flaring: involuntary movement of nares	None		Present
Look of fear	None		Eyes wide open, facial muscles tense, brow furrowed, mouth open, teeth together
Total