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Pain Scale Forms

I____I____I____I____I_____I_____I_____I_____I_____I____I

0         1        2         3         4          5            6           7           8           9        10

                   0                 1              2               3               4               5

                  Sin            Duele        Duele        Duele         Duele        El peor

                Dolor             un             un        todavia      mucho         dolor

                                  Poquito      Poquito       mas        

                                                       mas

If you are having pain, tell the EMS technician.

Use these scales to describe your pain.

Infant Pain Scale

0                          Restful Sleep

1-2                   Quiet, awake, calm face

3-4                   Restless, occasional grimace or whimper

5-6                   Irritable, intermittent crying and occasional grimace, easily consolable

7-8                   Frequent crying, constant grimace, tense muscles, difficult to console

9-10               Constant high-pitched cry, thrashing of limbs, constant grimace,

Unable to console