PRAM Score Calculator Sponsored Advertising placement Paediatric Respiratory Assessment Measure Clinical Decision Tool Calculates PRAM asthma-exacerbation severity in children using five clinical findings. Oxygen Saturation i Oxygen Saturation × Room-air oxygen saturation contributes 0–2 PRAM points. Accepted units % Used by PRAM Clinical noteDo not delay oxygen or treatment to obtain a room-air value. ReferenceDucharme FM et al. J Pediatr. 2008;152:476–480. Learn more → ≥95% 0 92–94% +1 <92% +2 Suprasternal retractions Absent 0 Present +2 Scalene muscle contraction Absent 0 Present +2 Air entry Normal 0 Decreased at bases +1 Widespread decrease +2 Minimal or absent +3 Wheeze Absent 0 Expiratory only +1 Inspiratory and expiratory +2 Audible without stethoscope or silent chest with minimal air entry +3 Calculate Paediatric Respiratory Assessment Measure Clear Calculator ☆ Log in to save Save this calculator to your MDPDA account. + Add to Toolkit Log in to save incomplete calculator progress and return later. Log in to save progress Clinical Decision Support Only MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress. Read our Clinical Disclaimer Sponsored Advertising placement