Table 1

 The Alder Hey Triage Pain Score; reference scoring chart

ResponseScore 0Score 1Score 2
1.Cry or voiceNo complaint/cryConsolableInconsolable
Normal conversationNot talking negativeComplaining of pain
2.Facial expressionNormalShort grimace <50% of timeLong grimace >50% of time
3.PostureNormalTouching/rubbing/sparingDefensive/tense
4.MovementNormalReduced or restlessImmobile or thrashing
5.ColourNormalPaleVery pale/“green”