Protocol 2-616-33 - Newly Born - APGAR Scoring System

CMH EMS & MIH Protocols

APGAR Scoring System

Question		Options
A	Appearance (skin color)	2 - Completely pink 1 - Body pink, extremities blue 0 - Blue, pale
P	Pulse	2 - Above 100 BPM 1 - Below 100 BPM 0 - Absent
G	Grimace (reflex irritability)	2 - Active motion (sneeze, cough, pull away 1 - Some flexion of extremities 0 - Flaccid
A	Activity (muscle tone)	2 - Active movement 1 - Arms and legs flexed 0 - Absent
R	Respiration	2 - Vigorous cry 1 - Slow, irregular 0 - Absent

APGAR score:

Click "calculate" to show APGAR score.

Less than 4 = Severely depressed.
4-6 = Moderately depressed.
Greater than 6 = Excellent condition.

NEMSIS Protocol: 9914133 - Medical-Newborn/Neonatal Resuscitation

Citations:

Protocol 9-010 - References
Bloom, 2006
NASEMSO Medical Directors Council, 2017

Change Log:

Date	Link to previous version	Description of change
07/23/16	pdf	Renamed this section from APGAR to Newborn Assessment and included targeted pre-ductile SpO2.
07/12/20		Moved this section from 2-616created a new page.
06/06/21	pdf	Moved to emsprotocols.online
10/15/21		Renumbered from 2-616-01 to 2-616-33.

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