🧒 Pediatric Respiratory Assessment Measure (PRAM)
Grade pediatric acute asthma severity with the PRAM score.
Pediatric Respiratory Assessment Measure (PRAM)
Suprasternal retraction
Scalene muscle contraction
Air entry (worst side)
Wheezing (worst side)
Oxygen saturation
When to use
Assess severity and treatment response in childhood asthma exacerbations.
How it works
Suprasternal retraction, scalene contraction, air entry, wheezing and SpO₂, total 0–12. 0–3 mild, 4–7 moderate, 8–12 severe.
Key points
- Air entry and wheezing scored on the worst side.
- Applicable ages 1–17 years.
- A change ≥ 3 is clinically meaningful.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.