Grade | Respiratory rate | Accessory muscle use | Hypoxemia |
---|---|---|---|
I | <30 | Intercostal | Normal |
II | 30 to 40 | Supraclavicular and/or suprasternal | Cyanosis |
III | >40 | Thoraco-abdominal | Circulatory and/or |
 |  | swing/nasal flaring | consciousness disorders |
IV | Gasp | Exhaustion/ventilatory arrest | Cardio-circulatory arrest |