Measure | Score |
Facial expressions | |
Calm | 0 |
Snivels and alternates gentle eye opening and closing | 1 |
Determine intensity of one or more of: Eye squeeze, brow bulge, nasolabial furrow: | |
| 2 |
| 3 |
| 4 |
Limb movements | |
Calm or gentle movements | 0 |
Determine intensity of one or more of the following signs: Pedals, toes spread, legs tensed and pulled up, agitation of arms, withdrawal reaction: | |
| 1 |
| 2 |
| 3 |
Vocal expression | |
No complaints | 0 |
Moans briefly; for intubated child, looks anxious or uneasy | 1 |
Intermittent crying; for intubated child, gesticulations of intermittent crying | 2 |
Long lasting crying, continuous howl; for intubated child, gesticulations of continuous crying | 3 |
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