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paediatrics

FLACC Scale (Face, Legs, Activity, Cry, Consolability) for Pediatric Pain

Behavioural pain assessment tool for children 2 months to 7 years (and non-verbal patients) who cannot self-report pain. Validated for post-operative and procedural pain assessment.

Score interpretation

No Pain 0

FLACC 0 -- relaxed and comfortable; no pain indicators

→ No analgesic intervention needed; continue monitoring; reassess at regular intervals (minimum hourly post-operatively); document score; non-pharmacological comfort measures as appropriate (positioning, sucrose for neonates).

Mild Pain 1–3

FLACC 1-3 -- mild discomfort or pain

→ Non-pharmacological measures first: positioning, distraction, parental presence, swaddling, sucrose (neonates); paracetamol (oral/IV) if not contraindicated: 15 mg/kg oral 4-6 hourly (max 60 mg/kg/day, not exceeding 4 g/day); reassess in 30-60 minutes; document interventions and response; ibuprofen 5-10 mg/kg 6-8 hourly if >= 3 months and no contraindications.

Moderate Pain 4–6

FLACC 4-6 -- moderate pain requiring active management

→ Step-up analgesia: paracetamol + ibuprofen (if >= 3 months, not post-tonsillectomy per NICE) as regular scheduled doses; codeine NO longer recommended in children (FDA/EMA/MHRA withdrawal); tramadol with caution; intranasal diamorphine 0.1 mg/kg for acute moderate pain in ED; nurse-administered entonox for procedural pain (>= 4 years); oral morphine 0.1-0.2 mg/kg 4-hourly if severe/refractory; reassess every 30 minutes; senior paediatric review.

Severe Pain 7–10

FLACC 7-10 -- severe pain requiring urgent intervention

→ Urgent analgesia: IV morphine 0.05-0.1 mg/kg slow IV bolus (max 2.5 mg per dose, may repeat at 15-30 min intervals; respiratory monitoring essential); intranasal fentanyl 1.5 mcg/kg as alternative; nurse-controlled or patient-controlled analgesia (NCA/PCA) post-operatively; pain team/anaesthesia review; consider regional anaesthesia (nerve block, epidural) for post-operative pain; reassess every 15 minutes after intervention; document all doses; monitor O2 saturation and respiratory rate; naloxone available at bedside.

Interpretation bands for the FLACC Scale. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.