The Royal College of Emergency Medicine composite pain scale for children: level of inter-rater agreement

Conclusion
The Ladder score could be omitted from this composite tool as it has poor inter-rater agreement in comparison with the other indicators.

Source: Emergency Medicine Journal - May 24, 2017 Category: Emergency Medicine Authors: James, F., Edwards, R., James, N., Dyer, R., Goodwin, V. Tags: Original article Source Type: research