|Normal||Mild Distress||Moderate Distress||Severe Distress|
|General Appearance||Calm, quiet||Likely to be calm, may be mildly anxious||May be distressed, anxious||Distressed, anxious, fighting to breathe, exhausted, altered conscious state|
|Speech||Clear and steady sentences||Speaks in sentences||Speaks in short phrases only||Only speaks in single words or unable to speak|
|Breath Sounds||Usually quiet, no wheeze|
May have a cough
May have a cough, stridor, crackles.
May be unable to cough.
|Respiratory Rate (per minute)||10 - 15||15 - 20||> 20||> 20 or < 6 - 8|
|Respiratory Rhythm||Regular and even||Asthma: may be slightly prolonged expiratory phase||Asthma: prolonged expiratory phase||Asthma: prolonged expiratory phase|
|Breathing Effort||Little with small chest movements||May be slight increase in normal chest movement||Marked chest movement and may have some use of accessory muscles||Marked chest movement with accessory muscles, intercostal recession and/or tracheal tugging|
|Pulse Rate (per minute)||60 - 90||60 - 90||Tachycardia (100 - 120)||Tachycardia >120 or Bradycardia <60|
|Skin||Normal||Normal||May be pale and sweaty||Pale and sweaty, and be cyanosed|
|Conscious State||Alert||Alert||May be altered||Altered or unconscious|