Response | Score 0 | Score 1 | Score 2 | |
---|---|---|---|---|
1. | Cry or voice | No complaint/cry | Consolable | Inconsolable |
Normal conversation | Not talking negative | Complaining of pain | ||
2. | Facial expression | Normal | Short grimace <50% of time | Long grimace >50% of time |
3. | Posture | Normal | Touching/rubbing/sparing | Defensive/tense |
4. | Movement | Normal | Reduced or restless | Immobile or thrashing |
5. | Colour | Normal | Pale | Very pale/“green” |