| Criteria | Point Value |
|---|---|
| Systolic Blood pressure (mmHg) | |
| <45% down | 3 |
| 30% down | 2 |
| 15% down | 1 |
| Normal for patient | 0 |
| 15% up | 1 |
| 30% up | 2 |
| >45% up | 3 |
| Heart rate (bpm) | |
| <40 | 2 |
| 41–50 | 1 |
| 51–100 | 0 |
| 101–110 | 1 |
| 111–129 | 2 |
| ≥130 | 3 |
| Respiratory rate (bpm) | |
| <9 | 2 |
| 9–14 | 0 |
| 15–20 | 1 |
| 21–29 | 2 |
| ≥30 | 3 |
| Temperature (°C) | |
| <35 | 2 |
| 35–38.4 | 1 |
| ≥38.5 | 2 |
| AVPU score | |
| Alert | 0 |
| Reacting to Voice | 1 |
| Reacting to Pain | 2 |
| Unresponsive | 3 |
A score of five or more is clearly linked to increased likelihood of death and admission to an intensive care unit.
