Table 1: Modified comfort scale.

Alertness Deeply asleep 1
Lightly asleep 2
Drowsy 3
Fully awake and alert 4
Hyper alert 5
Muscle tone No muscle tone 1
Reduced 2
Normal 3
Increased 4
Extreme muscle rigidity 5
Calmness Calm, quite breathing (no crying) 1
Slightly anxious, easily distracted by touch or voice (sobbing) 2
Anxious, difficult to distract (moaning) 3
Very anxious, impossible to distract (crying) 4
Panicky (screaming) 5
Physical movement No movement 1
Occasional slight movements 2
Frequent slight movements 3
Vigorous movements of the extremities 4
Vigorous movements, including head and torso 5
Facial tension Facial muscles totally relaxed (smile) 1
No facial muscle tension evident (serious) 2
Tension evident in some facial muscles (frown) 3
Tension evident throughout facial muscles (clenched teeth) 4
Facial muscles contorted and grimacing 5
Respiratory rate (bpm) Age\Points 1 2 3 4 5
< 1 year < 30 30-40 41-50 51-60 > 60
1-5 years < 25 25-35 36-50 51-60 > 60
5-12 years < 20 20-25 25-35 36-50 > 50
>12 years < 15 15-20 21-35 36-50 > 50
Heart rate (bpm) Age\Points 1 2 3 4 5
< 1 year < 110 110-160 161-180 181-200 > 200
1-5 years < 95 95-140 141-160 161-180 > 180
5-12 years < 80 80-120 121-140 141-160 > 160
> 12 years < 60 60-100 101-120 121-140 > 140