| Consciousness level |
Clear and alert |
Clear and alert |
Change of mental state (restless, drowsy) |
| Extremities |
Warm and pink extremities |
Cold extremities |
Cold, clammy extremities |
| Capillary refill time (CRT) |
Brisk (<2 sec) |
Prolonged (>2 sec) |
Very prolonged, mottled skin |
| Peripheral pulse volume |
Good volume peripheral pulses |
Weak & thready peripheral pulses |
Feeble or absent peripheral pulses |
| Heart rate |
Normal heart rate for age |
Tachycardia |
Severe tachycardia with bradycardia in late shock |
| BP |
Normal BP for age |
- Normal systolic pressure with raised diastolic pressure
- Postural hypotension
|
Hypotension/unrecordable BP |
| Pulse pressure |
Normal pulse pressure for age |
Narrowed pulse pressure (≤20 mmHg) |
Unrecordable |
| Respiratory rate |
Normal respiratory rate for age |
Tachypnoea |
Metabolic acidosis/hyperpnoea |
| Urine output |
Normal |
Reducing trend |
Oliguria/anuria |