The Pediatric Risk of Admission (PRISA) Score

Age of the patient

Age of the child

Age of the child

Did the patient arrive by ambulance or helicopter?

Was the patient referred in by a physician or another emergency department?

Is the patient immunocompromised?

Is the patient dependent on a medical device?

Is the patient asthmatic and taking medications in addition to bronchodilators?

Does the patient show an abnormal mental status?

Has the patient received an isotonic fluid bolus?

Has the patient received more than 4 nebulizations?

Number of hours with nothing-by-mouth status

Heart rate

Respiratory rate

Systolic blood pressure

Diastolic blood pressure

Body temperature

• glucose

• hemoglobin

• platelet count

• white blood cell count

• percent neutrophils in differential (enter from 0 to 100)

• a third degree burn?

• significant burns involving more than 10% of the body surface area?

• onset of acute coma?

• a stroke?

• more than 1 dose of a parenteral antibiotic?

• parenteral anticonvulsants?

• parenteral anti-arrhythmic agents?

• parenteral analgesics?

• intravenous infusion of insulin?

• parenteral inotropic agents?

• intravenous bolus of potassium, calcium, magnesium or sodium bicarbonate?

• intravenous fluids greater than maintenance requirements?

• inspired oxygen greater than baseline?

• nebulizations more frequently than every 3 hours?

• airway suctioning?

• endotracheal intubation?

• mechanical ventilation or continuous airway pressure (CPAP)?

• general or epidural anesthesia?

• arterial or venous central line?

• tube thoracostomy?

• cardiopulmonary resuscitation?

• nasogastric or orogastric tube?

• cardiac catheterization?

• transfusion of blood products?

• suicide precautions?

• transfer to ICU care?