Pediatric Respiratory Assessment Measure (PRAM) for Asthma Exacerbation Severity

 
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O₂ saturation


Suprasternal retractions present

Scalene muscle contractions present

Air entry
If asymmetry, use the most severely affected lung field.



Wheezing
If asymmetry, use the two most severely affected auscultation zones.



Result :
PRAM Score : 0 points
Asthma Severity: Mild

References

Chalut DS, Ducharme FM, Davis GM. The Preschool Respiratory Assessment Measure (PRAM): a responsive index of acute asthma severity. J Pediatr. 2000;137:762–768.

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