PASS Asthma Pathway

Pediatric ED · NHLBI EPR-3
kg
Example weight. Enter the real one.
Not yet assessed
Step 1

Score the PASS

Pediatric Asthma Severity Score: three signs, 0–2 each (total 0–6). Score at arrival and after every treatment.

Step 2

Choose the severity

Severity comes from the whole picture: symptoms, signs, SpO₂ and peak flow. Several features, not all, define the category. The PASS suggestion is a guide only.

Mild: talks in sentences, SpO₂ > 95%, PEF ≥ 70% · Moderate: phrases, SpO₂ 90–95%, PEF 40–69% · Severe: words, accessory muscles, SpO₂ < 90%, PEF < 40% · Arrest imminent: drowsy or confused, paradoxical breathing, silent chest, bradycardia.
PASS —

Score the PASS and choose a severity

    Step 3

    Reassessment clock

    Bronchodilator every 20 minutes for 3 doses in the first hour. Re-score after each treatment and log it.

    20:00
    Time-stamped PASS log (stays on this device only)
    No reassessments logged yet.