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    Vital Signs in Children: Heart Rate (Rate/min) Age Awake Rate Sleeping Rate

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    Ghina Khairunnisa
    This document provides reference values for common vital signs and physiological parameters in children, including: - Normal heart and respiratory rates by age - Criteria for hypotension by age based on systolic blood pressure - A modified Glasgow Coma Scale tailored for infants and children - The Pediatric Trauma Score, a tool for assessing injury severity in children based on weight, airway status, blood pressure, consciousness level, presence of fractures, and cutaneous injuries.

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    Vital Signs in Children: Heart Rate (Rate/min) Age Awake Rate Sleeping Rate

    Uploaded by

    Ghina Khairunnisa
    20 views3 pages
    This document provides reference values for common vital signs and physiological parameters in children, including: - Normal heart and respiratory rates by age - Criteria for hypotension by age based on systolic blood pressure - A modified Glasgow Coma Scale tailored for infants and children - The Pediatric Trauma Score, a tool for assessing injury severity in children based on weight, airway status, blood pressure, consciousness level, presence of fractures, and cutaneous injuries.

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    This document provides reference values for common vital signs and physiological parameters in children, including: - Normal heart and respiratory rates by age - Criteria for hypotension by age based on systolic blood pressure - A modified Glasgow Coma Scale tailored for infants and children - The Pediatric Trauma Score, a tool for assessing injury severity in children based on weight, airway status, blood pressure, consciousness level, presence of fractures, and cutaneous injuries.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    20 views3 pages

    Vital Signs in Children: Heart Rate (Rate/min) Age Awake Rate Sleeping Rate

    Uploaded by

    Ghina Khairunnisa
    This document provides reference values for common vital signs and physiological parameters in children, including: - Normal heart and respiratory rates by age - Criteria for hypotension by age based on systolic blood pressure - A modified Glasgow Coma Scale tailored for infants and children - The Pediatric Trauma Score, a tool for assessing injury severity in children based on weight, airway status, blood pressure, consciousness level, presence of fractures, and cutaneous injuries.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Vital Signs in Children

    Heart Rate (rate/min)


    Age

    Awake Rate

    Sleeping Rate

    Newborn to 3 months

    85 to 205

    80 to 160

    3 months to 2 years

    100 to 190

    75 to 160

    2 to 10 years

    60 to 140

    60 to 90

    >10 years

    60 to 100

    50 to 90

    Respiratory Rate (breaths/min)


    Age

    Rate

    Infant

    30 to 60

    Toddler

    24 to 40

    Preschooler

    22 to 34

    School-age child

    18 to 30

    Adolescent

    12 to 16

    Definition of Hypotension by Systolic Blood Pressure and Age


    Age

    Systolic Blood Pressure

    Term neonates (0 to 28 days)

    <60 mm Hg

    Infants (1 to 12 months)

    <70 mm Hg

    Children 1 to 10 years (5th BP percentile)

    <70 mm Hg + (age in years x 2) mm Hg

    Children >10 years

    <90 mm Hg

    Modified Glasgow Coma Scale for Infants and Children


    Child
    Eye opening

    Spontaneous
    To speech
    To pain only
    No response

    Oriented, appropriate
    Confused
    Best verbal response Inappropriate words
    Incomprehensible sounds
    No response

    Best motor
    response*

    Obeys commands
    Localizes painful stimulus
    Withdraws in response to
    pain
    Flexion in response to pain
    Extension in response to pain
    No response

    Infant

    Score

    Spontaneous
    To speech
    To pain only
    No response

    4
    3
    2
    1

    Coos and babbles


    Irritable cries
    Cries to pain
    Moans to pain
    No response

    5
    4
    3
    2
    1

    Moves spontaneously and


    purposefully
    Withdraws to touch
    Withdraws to response in pain
    Abnormal flexion posture to pain
    Abnormal extension posture to pain
    No response

    6
    5
    4
    3
    2
    1

    *If patient is intubated, unconscious, or preverbal, the most important part of this scale is motor response.
    Motor response should be carefully evaluated.

    Pediatric Trauma Score


    SCORE

    Assessment
    Component

    +2

    +1

    -1

    Weight

    Weight >20 kg (>44 lb)

    10-20 kg (22-44 lb)

    <10kg (<22 lb)

    Airway

    Normal

    Oral or nasal airway,


    oxygen

    Intubated, cricothyroidotomy,
    or tracheostomy

    Systolic Blood Pressure

    >90 mm Hg, good


    peripheral pulses and
    perfusion

    50-90 mm Hg,
    carotid/femoral pulses
    palpable

    <50 mm Hg, weak or no


    pulses

    Level of Consciousness

    Awake

    Obtunded or any loss of


    consciousness

    Coma, unresponsive

    Fracture

    None seen or suspected

    Single, closed

    Open or multiple

    Cutaneous

    None visible

    Contusion, abrasion,
    laceration <7 cm not
    through fascia

    Tissue loss, any gunshot


    wound or stab wound
    through fascia

    Totals
    Adapted with permission from Tepas JJ, Molitt DL, Talbert JL, et al: The pediatric trauma score as a
    predictor of injury severity in the injured child. Journal of Pediatric Surgery. 1987;22(1)15.
    *PTS > 8 should have 0 % mortality.
    All injured children with PTS < 8 should be triaged to an appropriate pediatric trauma center.

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