Table 1

PRAM score11

SignsScore*
0123
Suprasternal indrawing
(tracheal tug)		AbsentPresent 
Scalene retractions
(neck muscles)		AbsentPresent 
WheezingAbsentExpiratory onlyInspiratory and expiratoryAudible without stethoscope or silent chest with minimal air entry
Air entryNormalDecreased at basesWide spread decreaseAbsent/minimal
Oxygen saturation in room air>95%92%–94%<92% 

  • *Add scores from all five signs to obtain total PRAM score (maximum score: 12)

  • PRAM, Preschool Respiratory Assessment Measure.