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Table 2 The Pediatric Respiratory Assessment Measure (PRAM)

From: Single dose oral dexamethasone versus multi-dose prednisolone in the treatment of acute exacerbations of asthma in children who attend the emergency department: study protocol for a randomized controlled trial

Signs

0

1

2

3

Suprasternal muscle contraction

Absent

 

Present

 

Scalene muscle contraction

Absent

 

Present

 

Air entry*

Normal

Decreased at bases

Widespread decrease

Absent/minimal

Wheezing*

Absent

Expiratory only

Inspiratory and expiratory

Audible without stethoscope/silent chest with minimal air entry

O2 saturation

≥95%

92%-94%

<92%

 
  1. *in case of asymmetry, the worst lung is rated.