The child who has sustained no loss of
consciousness and is fully awake is graded as + 2.
The child who has any degree of obtundation or who has sustained a loss of consciousness no matter how transient, is graded + 1.
The child who is totally nonresponsive is graded as - 1.
Systolic Blood Pressure
If proper sized BP cuff is not available, BP can be assessed by assignating :
+ 2 pulse palpable at wrist;
+ 1 pulse palpable at groin;
- 1 no pulse palpable.
A child whose airway is completely within
normal limits and require no additional supportive measures is
categorized as +2.
A child whose airway is partially obstructed and who requires simples measures for protection such as head positioning, oral airway or mask oxygen delivery is categorized as + 1.
A child whose airway requires more definitive management and demands a degree of expertise that will allow intubation, cricothyroidotomy, or other invasive procedures is categorized as unmaintainable or - 1.