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Validated objective severity scoring tool for acute asthma in children aged 2–17 years. PRAM assigns scores 0–12 based on five clinical assessments and accurately classifies mild, moderate, and severe exacerbations. Used in pediatric emergency departments to guide management intensity and track treatment response.
Oxygen Saturation (SpO₂) in Room Air
Suprasternal Retractions
Use of Scalene Muscles (Neck Accessory Muscles)
Wheezing (Auscultation)
Air Entry (Auscultation — Compare Bilaterally)
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