Children's Lake Louise acute mountain sickness scoring system: Fussiness and pediatric symptom scores

Amount of unexplained fussiness*	0 - No fussiness
	1 to 5 - Intermittent fussiness
	6 - Constant fussiness
Intensity of fussiness^¶	0 - No fussiness
	1 to 5 - Moderate fussiness
	6 - Hard crying and extreme fussiness
Eating	0 - Normal
	1 - Slightly less than normal
	2 - Much less than normal
	3 - Vomiting or not eating
Playfulness	0 - Normal
	1 - Playing slightly less
	2 - Playing much less than normal
	3 - Not playing
Sleeping	0 - Normal
	1 - Slightly less or more than normal
	2 - Much less or more than normal
	3 - Not able to sleep

Children are scored by combining amount of unexplained fussiness with intensity of fussiness to obtain a total mean fussiness score (0-12). This score is then added to the pediatric symptom score (0-9). Total score ≥7 (including a fussiness score ≥4 and pediatric symptom score ≥3) is considered to be diagnostic of acute mountain sickness.

* Intermittent fussiness is graded subjectively by the parent from 0 (No fussiness) to 6 (Constant fussiness).
¶ Intensity of fussiness is graded subjectively by the parent from 0 (No fussiness) to 6 (Hard crying and extreme fussiness).

Adapted from: Yaron M, Waldman N, Niermeyer S, et al. The diagnosis of acute mountain sickness in preverbal children. Arch Pediatr Adolesc Med 1998; 152:683.

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Children's Lake Louise acute mountain sickness scoring system: Fussiness and pediatric symptom scores