Physiological marker | Score 0 | Score 1 | Score 2 | Score 3 |
Ventilatory frequency | ≤19 | 20–21 | ≥22 | |
Pulse | ≤101 | ≥102 | ||
Systolic blood pressure | ≥100 | ≤99 | ||
Temperature | ≥35.3 | <35.3 | ||
Oxygen saturation in air | 96 to 100 | 94 to <96 | 92 to <94 | <92 |
AVPU | Alert | Other |
Total score | Intervention |
Total score 0–1 | Normal |
Total score 2–4 | Alert |
Total score ≥5 | Urgent |
AVPU, Alert, Voice, Pain and Unconsciousness score.