Knowing

Thompson
Score for
Child with
HIE

Sign
Tone
LOC
Fits
Posture
Moro
Grasp
Suck
Respir
Fontanell

0
normal
normal
none
normal
normal
normal
normal
normal
normal

1
hyper
hyperalert, stare
< 3 per day
fisting, cylcing
partial
poor
poor
hyperventilation
full, not tense

hypo
flaccid
lethargic
comatouse
> 2 per day
strong distal flexion decerebrate
absent
absent
absent bites
brief apnea
IPPV (apnea)
tense

Date
Time
Tone
LOC
Fits
Posture
Moro
Grasp
Suck
Respir
Fontanell
TOTAL

Thompson CM, Puterman AS, Linley LL, Hann FM, van der Elst CW, Molteno CD,
Malan AF. The value of a scoring system for hypoxic ischaemic encephalopathy in predicting neurodevelopmental outcome. Acta Paediatr 1997; 86:
757-61