🧒 Pediatric Respiratory Assessment Measure (PRAM)
UseAssess severity and treatment response in childhood asthma exacerbations.
SourceDucharme FM, et al. The Pediatric Respiratory Assessment Measure (PRAM). J Pediatr 2008
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Air entry and wheezing scored on the worst side.
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
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Suprasternal retraction | Absent (0) |
|---|---|
| Scalene muscle contraction | Absent (0) |
| Air entry (worst side) | Decreased at bases (1) |
| Wheezing (worst side) | Expiratory only (1) |
| Oxygen saturation | 92–94% (1) |
→PRAM3/12
- Severity：3 → Mild (0–3 mild, 4–7 moderate, 8–12 severe)
- Action：Mild: inhaled salbutamol, oral steroids as appropriate; observe and reassess, often manageable as outpatient
- Note：Air entry and wheezing scored on the worst side. Applicable ages 1–17 y. A change ≥ 3 is clinically meaningful
| Suprasternal retraction | Absent (0) |
|---|---|
| Scalene muscle contraction | Absent (0) |
| Air entry (worst side) | Normal (0) |
| Wheezing (worst side) | Absent (0) |
| Oxygen saturation | > 95% (0) |
→PRAM0/12
- Severity：0 → Mild (0–3 mild, 4–7 moderate, 8–12 severe)
- Action：Mild: inhaled salbutamol, oral steroids as appropriate; observe and reassess, often manageable as outpatient
- Note：Air entry and wheezing scored on the worst side. Applicable ages 1–17 y. A change ≥ 3 is clinically meaningful
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Pediatric Respiratory Assessment Measure (PRAM)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Pediatric Respiratory Assessment Measure (PRAM) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.