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You are here: Home / Resources / Acronyms / APGAR

APGAR

April 27, 2014 by EMTResource.com Leave a Comment

APGAR is used to assess newborns.

A Appearance

  • Extremities and core are pink: 2 points
  • Blue hands and feet with a pink core (acrocyanosis): 1 point
  • Entire body is cyanotic or pale: 0 points
P Pulse

  • Heart rate is greater than 100: 2 points
  • Heart rate is less than 100: 1 points
  • Pulseless: 0 points
G Grimace

  • Tactile stimulation causes the baby to cough, sneeze or cry: 2 points
  • Tactile stimulation produces only a facial grimace: 1 point
  • Tactile stimulation results in no activity: 0 points
A Activity

  • Actively moving around: 2 points
  • Some flexion without active movement: 1 point
  • Limp without any movement: 0 points
R Respirations

  • Full and effective respirations with a strong cry: 2 points
  • Slow or irregular respirations with a weak cry: 1 point
  • Apneic: 0 points

Total Score

7-10 Points: The newborn is active and requires only routine care.

4-6 Points: The newborn will require additional stimulation and oxygen therapy.

0-3 Points: The newborn is not perfusing adequately and assisted ventilations with a bag-valve-mask (BVM) and CPR may be required.

APGAR scores should be completed at 1 minute and 5 minutes after delivery.

Filed Under: Acronyms Tagged With: patient assessment

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