Score | 3 | 2 | 1 | 0 | 1 | 2 | 3 |
---|---|---|---|---|---|---|---|
Temperature | < 35°. C | 35–37.4°. C | 37.5–39°. C | > 39°. C | |||
Systolic * BP | ≤70 | 71–79 | 81–89 | 90–139 | 140–149 | 150–159 | ≥160 |
Diastolic * BP | ≤45 | 46–89 | 90–99 | 100–109 | ≥110 | ||
Pulse | ≤ 40 | 40–50 | 51–100 | 101–110 | 111–129 | ≥ 130 | |
Respiratory Rate | ≤ 8 | 9–14 | 15–20 | 21–29 | ≥30 | ||
AVPU | Alert | Responds to Voice | Responds to Pain | Unconscious | |||
Urine output mLs/hr | < 10 | < 30 | Not Measured |