3 2 1 0 1 2 3

Respiratory Less than 8 8 9-17 18-29 21-29 ≥30

0-1 SCORE
rate per
minute
Heart rate per Less than 40 40-50 51-100 101-110 111-129 ≥130
minute

Systolic blood ≤70 71-80 81-100 101-159 160-199 200-220 ≥220 2-3 SCORE
pressure

Conscious Unresponsi Responds to Responds to Alert Agitation or New oset ol

leve (AVPU) ve poin voice conflusion agitation or 4-5 SCORE
confusion

temperaure ≤35,0˚C 35,0-36˚C 36,5-38˚C 38-38,5˚C ≥38,55˚C

≥6 SCORE