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. 2018 Jan 23;52(1 Suppl):5–57. doi: 10.1177/0023677217744587
Description Scorea Action Severity assessmentb
Normal swimming, behaviour, appearance 1 NA MILD
Swimming behaviour
Bottom swimming 1 Check similarity controls MILD
Surface swimming 1 Check similarity controls MILD
Surface air gasping 2 NA MILD
Vertical swimming 3 Cumulative discomfort MODERATE
Swimming in side or supine position 3 NA MODERATE
Circle swimming (normal to supine position) 3 NA MODERATE
Pigmentation
Darker colouring 2 NA MILD
Appearance
Tail contraction 3 NA MODERATE
Haemorrhages/suggillation 4–5 (Consider) HEPc SEVERE
Visible damage to skin and/or fins 4–5 (Consider) HEP SEVERE
Reactive behaviour
Slow compared with control 2 NA MILD
Immobile 2 NA MILD
Hyperactive swimming after ticking against vessel 2 NA MILD
Hyperactive swimming 3 NA MODERATE
Other
Sudden death without previous signs 2 NA MILD
Sudden death with previous signs 2–5 NA MILD, MODERATE or SEVERE
Irreversible discomfort like convulsions 4–5 (Consider) HEP SEVERE
a

If an observation is also present on the second or third day in a row, the score is added +1, 4 days in a row +2 and 5 days in a row +3. This may facilitate severity assessment and implementation of HEP.

b

If a combination of observations is present, the severity assessment will be adjusted to the highest severity score of the observations present.

c

HEP = humane end-points.