Criteria

Finding

Points

Crying

None

0

Consolable

1

Not consolable

2

Movement

None

0

Restless

1

Thrashing

2

Agitation

Asleep

0

Calm

0

Mild

1

Hysterical

2

Posture

Normal

0

Flexed

1

Holds injury site

2

Verbal

Asleep

0

No complaint

0

Complains but cannot localize

1

Complains and can localize

2