Version June 2024
| Clinical Feature Scale (CFS) | |||||
| 0 | 1 | 2 | 3 | Score | |
| Heart rate (BPM) | <100 | 100 to 119 | 120 to 139 | ≥140 | |
| Respiratory rate (breaths/minute) | <18 | 18 to 23 | 24 to 29 | ≥30 | |
| Systolic blood pressure (mmHg) | <140 | 140 to 159 | 160 to 179 | ≥180 | |
| Temperature (°C) | <37 | 37 to 37.9 | 38 to 38.9 | ≥39 | |
| Sweating | Nil (none) | Mild (moist skin) | Moderate (beads of sweat) | Severe (profuse generalized sweating) | |
| Posturing during episodes | Nil (none) | Mild (increased tone but not requiring treatment) | Moderate (increased tone requiring treatment) | Severe (very increased tone refractory to treatment) | |
| CFS subtotal = | |||||
| Diagnosis Likelihood Tool (DLT) | |||||
| Score as "1" if present | Score | ||||
| Clinical features occur simultaneously | |||||
| Episodes are paroxysmal in nature | |||||
| Over-reactivity to normally nonpainful stimuli | |||||
| Features persist ≥3 consecutive days | |||||
| Features persist ≥2 weeks post-brain injury | |||||
| Features persist despite treatment of differential diagnoses | |||||
| Medication administered to decrease sympathetic features | |||||
| ≥2 episodes daily | |||||
| Absence of parasympathetic features during episodes | |||||
| Absence of other presumed cause of features | |||||
| Antecedent acquired brain injury | |||||
| DLT subtotal = | |||||
| Combined total (CFS + DLT) = | |||||
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