Box 10.2.
The pediatric respiratory assessment measure score
| Sign | 0 | 1 | 2 | 3 |
|---|---|---|---|---|
| Suprasternal retraction | Absent | Present | ||
| Scalene muscle contraction | Absent | Present | ||
| Air entry | Normal | Decreased at bases | Widespread decreased | Absent/minimal |
| Wheezing | Absent | Expiratory only | Inspiratory and expiratory | Audible without stethoscope/silent chest with minimal air entry |
| O2 saturation (%) | ≥95 | 92-94 | <92 |