Normal ranges

Respiration rate

Age Range (years) APLS (1) PALS (2) EPLS (3) ATLS (4) WHO (5)
Neonate  30 – 40  30 – 60  30 – 40  <60   
0 – 1  30 – 40  30 – 60  30 – 40  <60  <50+ 
1 – 2  25 – 35  24 – 40  26 – 34  <40  <40 
2 – 3  25 – 30  24 – 40  24 – 30  <40  <40 
3 – 4  25 – 30  24 – 40  24 – 30  <35  <40 
4 – 5  25 – 30  22 – 34  24 – 30  <35  <40 
5 – 6  20 – 25  22 – 34  20 – 24  <35   
6 – 12  20 – 25  18 – 30  20 – 24  <30   
12 – 13  15 – 20  18 – 30  12 – 20  <30   
13 – 18  15 – 20  12 – 16  12 – 20  <30   
Source: S. Fleming, M. Thompson, R. Stevens, C. Heneghan, A. Plüddemann, I. Maconochie, L. Tarassenko and D. Mant. Normal ranges of heart rate and respiratory rate in children from birth to 18 years: a systematic review of observational studies. The Lancet, 377(9770), pp1011-1018, 19 March 2011. [Lancet web appendix]

Heart rate

Age Range (years) APLS (1) PALS (2) EPLS (3) ATLS (4)
Neonate  110 – 160  85 – 205^  85 – 205^  <160 
0 – 1  110 – 160  100 – 190^  100 – 180^  <160 
1 – 2  100 – 150  100 – 190  100 – 180  <150 
2 – 3  95 – 140  60 – 140  60 – 140  <150 
3 – 5  95 – 140  60 – 140  60 – 140  <140 
5 – 6  80 – 120  60 – 140  60 – 140  <140 
6 – 10  80 – 120  60 – 140  60 – 140  <120 
10 – 12  80 – 120  60 – 100  60 – 100  <120 
12 – 13  60 – 100  60 – 100  60 – 100  <100 
13 – 18  60 – 100  60 – 100  60 – 100  <100 
Source: S. Fleming, M. Thompson, R. Stevens, C. Heneghan, A. Plüddemann, I. Maconochie, L. Tarassenko and D. Mant. Normal ranges of heart rate and respiratory rate in children from birth to 18 years: a systematic review of observational studies. The Lancet, 377(9770), pp1011-1018, 19 March 2011. [Lancet web appendix]

References

  1. Advanced Paediatric Life Support: The Practical Approach. 4th ed., Advanced Life Support Group, WileyBlackwell; 2004.
  2. Pediatric Advanced Life Support Provider Manual , American Heart Association. American Heart Association; 2006.
  3. European paediatric life support course. 2nd ed., Biarent D, Resuscitation Council (UK), European Resuscitation Council. Resuscitation Council (UK); 2006.
  4. ATLS: Advanced Trauma Life Support for Doctors. 7th ed., American College of Surgeons. American College of Surgeons; 2004.
  5. Pneumonia: the forgotten killer of children., Wardlaw TM, Johansson EW, Hodge M, World Health Organization, UNICEF. World Health Organization; 2006.
  6. Normal ranges of heart rate and respiratory rate in children from birth to 18 years: a systematic review of observational studies, The Lancet, Volume 377, Issue 9770, Pages 1011 - 1018, 19 March 2011 - [Link] / [Lancet web appendix] / [Centile charts]