Preschool Respiratory Assessment Measure - asthma exacerbation severity.
The PRAM Score is a respiratory scoring tool used in paediatric practice. Preschool Respiratory Assessment Measure - asthma exacerbation severity. It scores 5 criteria and interprets the total across 3 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
5. They are Suprasternal retractions; Scalene muscle contraction; Air entry; Wheezing; Oxygen saturation on room air.
The total is interpreted as: any score - Mild: pRAM 0-3 - mild exacerbation. Inhaled short-acting beta-agonist; usually dischargeable after response; 4 points or more - Moderate: pRAM 4-7 - moderate exacerbation. Frequent bronchodilators plus systemic corticosteroid; observe for response; 8 points or more - Severe: pRAM 8-12 - severe exacerbation. Continuous bronchodilators, systemic steroid, consider magnesium sulphate, oxygen and admission/HDU.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
Total range 0-12. Validated for children aged roughly 2-17 years.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.