Systolic blood pressure | Infant > 65 mmHg | 0 |
45–65 | 3 | |
< 45 | 7 | |
Child > 75 | 0 | |
55–75 | 3 | |
< 55 | 7 | |
Adolescent > 85 | 0 | |
65–85 | 3 | |
< 65 | 7 | |
Heart rate | Infant < 215beats/minute | 0 |
215–225 | 3 | |
> 225 | 4 | |
Child < 185 | 0 | |
185–205 | 3 | |
> 205 | 4 | |
Adolescent < 145 | 0 | |
145–155 | 3 | |
> 155 | 4 | |
Temperature | < 33 degree Celsius | 3 |
33–40 | 0 | |
> 40 | 3 | |
Mental status | Glasgow coma scale > / = 8 | 0 |
Glasgow coma scale < 8 | 5 | |
Pupillary response | Both reactive | 0 |
One reactive and fixed > 3 mm | 7 | |
Both fixed > 3 mm | 11 |