The Brighton score
| 0 | 1 | 2 | 3 | Score | |
|---|---|---|---|---|---|
| Behaviour | Playing/appropriate | Sleeping | Irritable | Lethargic/confused; reduced response to pain | |
| Cardiovascular | Pink or capillary refill time 1–2 s | Pale or capillary refill time 3 s | Grey or capillary refill 4 s; tachycardia of 20 above normal rate | Grey and mottled or capillary refill 5 s or above. tachycardia of 30 above normal rate or bradycardia | |
| Respiratory | Within normal parameters, no recession or tracheal tug | >10 above normal parameters, using accessory muscles, 30%+ FiO2 or 6+ l/min | >20 above normal parameters recessing, tracheal tug. 40+% Fi02 or 6+ l/min | 5 below normal parameters with sternal recession, tracheal tug or grunting. 50% Fi02 or 8+ l/min |
Score two extra for ¼ hourly nebulisers or persistent vomiting following surgery.
Source: Monaghan A.15