Paeds · clinical-assessment-and-reasoning
Age-specific normal vital signs and physiological ranges
Also known as Paediatric vital signs · Age-banded HR RR BP · Normal ranges children
Fellowship guide to measuring and interpreting age-banded paediatric vital signs, hospital versus community ranges, and escalation traps.
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Target exams
Red flags
- HR or RR extreme for age with poor perfusion or tiring
- Hypotension for age
- Hypoxia with increased work of breathing
- Bradycardia in a distressed child
- Caregiver concern despite near-normal snapshot
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- Age-specific normal vital signs and physiological ranges
Two different ‘normals’
Population / community ranges
Hospital and chart bands
Quote the source before you argue a cut-off. [1] [2] [7]
Overview & Definition
Vital signs are bedside numbers that estimate cardiorespiratory and thermal status. In paediatrics the same label — “tachycardia” — means different absolute rates at two months and twelve years. Fellowship practice means you can measure, age-adjust, interpret, and act without inventing a private table. [1]
References10ShowHide
- [1]Fleming S Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies Lancet, 2011.PMID 21411136
- [2]Bonafide CP Development of heart and respiratory rate percentile curves for hospitalized children Pediatrics, 2013.PMID 23478871
- [3]Daymont C Heart rates in hospitalized children by age and body temperature Pediatrics, 2015.PMID 25917984
- [4]Fleming S Validity and reliability of measurement of capillary refill time in children: a systematic review Arch Dis Child, 2015.PMID 25260515
- [5]Fleming S The Diagnostic Value of Capillary Refill Time for Detecting Serious Illness in Children: A Systematic Review and Meta-Analysis PLoS One, 2015.PMID 26375953
- [6]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study Lancet Child Adolesc Health, 2025.PMID 40451224
- [7]Trubey R Validity and effectiveness of paediatric early warning systems and track and trigger tools for identifying and reducing clinical deterioration in hospitalised children: a systematic review BMJ Open, 2019.PMID 31061010
- [8]Parshuram CS Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial JAMA, 2018.PMID 29486493
- [9]Sharma M Racial and skin color mediated disparities in pulse oximetry in infants and young children Paediatr Respir Rev, 2024.PMID 38233229
- [10]Starmer AJ Changes in medical errors after implementation of a handoff program N Engl J Med, 2014.PMID 25372088