Multicentre Study of Poisoning in Children (MSPC) Score

nausea

non-induced vomiting and/or diarrhea <= 2

vomiting and/or diarrhea > 2

dysphagia

salivation

oral burning

persistent abdominal pain

headache

tiredness

vertigo

ataxia

anxiety/agitation

severe agitation

lethargy

somnolescence

coma responsive to pain

coma unresponsive to pain

coma with respiratory depression

hallucinosis

delirium

isolated seizure

repeated seizures

status epilepticus

extra-pyramidal reactions

severe dystonic reaction

cerebral edema

tremor

paresthesia

muscular twitching

mild autonomic disturbances (anticholinergic, cholinergic, adrenergic)

irritative cough

mild cyanosis

cyanosis

bronchospasm

brief apnea

dyspnea

bradypnea

pulmonary edema

pneumonia

ARDS

respiratory insufficiency requiring ventilation

mild tachycardia (75-95th percentile)

pronounced tachycardia (> 95th percentile)

bradycardia (< 5th percentile)

isolated extrasystole

serious arrhythmia (ventricular extrasystoles, wide QRS complexes)

ventricular tachycardia, ventricular fibrillation, asystole

significant hypertension

severe hypertension

first degree AV block

second degree AV block

hypotension with clinical signs

circulatory failure with shock

proteinuria 150-300 mg per 24 hours

proteinuria > 300 mg per 24 hours

microhematuria

macrohematuria

volume 0.5-1.0 mL per kg per hour

volume < 0.5 mL per kg per hour

anuria

serum creatinine 100-179 µmol/L

serum creatinine 180-910 µmol/L

serum creatinine > 910 µmol/L

creatinine clearance 51-80 mL/min per 1.73 square meters

creatinine clearance 10-50 mL/min per 1.73 square meters

creatinine clearance < 10 mL/min per 1.73 square meters

renal failure requiring dialysis

ALT (SGPT) increased but < 300 U/L

ALT 300-3000 U/L

ALT > 3000 U/L

AST (SGOT) increased but < 300 U/L

AST 300-3000 U/L

AST > 3000 U/L

coagulation tests abnormal without clinical signs

coagulopathy with mild bleeding but no anemia

coagulopathy with severe bleeding and anemia

mildly elevated bilirubin

moderately elevated bilirubin

markedly elevated bilirubin

liver failure

hepatic encephalopathy

pallor

redness

edema

ecchymosis

metabolic acidosis with base excess to -5

metabolic acidosis with base excess -6 to -15

metabolic acidosis with base excess -16 to -25

metabolic acidosis with base excess more than -26

met-Hgb < 10%

met-Hgb 10-30%

met-Hgb 31-70%

met-Hgb > 70%

blood ethanol < 22 mmol/L

blood ethanol 22-44 mmol/L

blood ethanol 45-66 mmol/L

blood ethanol > 66 mmol/L

serum salicylate level mild on Done nomogram

serum salicylate moderate on Done nomogram

serum salicylate level severe on Done nomogram

temperature < 35°C

temperature 38-40°C

temperature 40-41°C

temperature > 41°C

serum potassium 2.5 - 2.9 mmol/L

serum potassium 2.0-2.4 mmol/L

serum potassium > 2.4 mmol/L

serum potassium 6.1-7.0 mmol/L

serum potassium  7.1-8.0 mmol/L

serum potassium > 8.0 mmol/L

rhabdomyolysis

first degree burn (skin)

second degree burn < 5% BSA infants; < 10% BSA children adults

second degree burn 5-10% BSA in infant, 10-20% in children and adults

second degree burn > 10% BSA in infant, > 20% in children and adults

third degree burn < 2% BSA in children or adults

third degree burns < 2% BSA in infants, 2-10% in children and adults

 third degree burns > 2% BSA in infants, > 10% in children and adults

oral hyperemia

oral erosions and/or small ulcers

deep and wide oral ulcers

first degree lesion on endoscopy

second degree lesion on endoscopy

third degree lesion on endoscopy

perforation of esophagus or stomach; necrosis of intestinal walls with loss of normal mucosal aspects

conjunctival hyperemia

corneal erosion

initial corneal necrosis (reversible ischemia)

total corneal necrosis (irreversible ischemia)

ocular perforation