Version July 2025
| Measure | Score |
| Facial expressions | |
| Calm | 0 |
| Snivels and alternates gentle eye opening and closing | 1 |
| Determine intensity of one or more of: Eye squeeze, brow bulge, nasolabial furrow: | |
| 2 |
| 3 |
| 4 |
| Limb movements | |
| Calm or gentle movements | 0 |
| Determine intensity of one or more of the following signs: Pedals, toes spread, legs tensed and pulled up, agitation of arms, withdrawal reaction: | |
| 1 |
| 2 |
| 3 |
| Vocal expression | |
| No complaints | 0 |
| Moans briefly; for intubated child, looks anxious or uneasy | 1 |
| Intermittent crying; for intubated child, gesticulations of intermittent crying | 2 |
| Long lasting crying, continuous howl; for intubated child, gesticulations of continuous crying | 3 |
