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Pediatric Early Warning Score (PEWS)

Behavior
Playing/appropriate 0
Sleeping 1
Irritable 2
Lethargic/confused or reduced response to pain 3
Cardiovascular
Pink OR capillary refill 1–2 seconds 0
Pale OR capillary refill 3 seconds 1
Gray OR capillary refill 4 seconds OR tachycardia of 20 bpm above normal 2
Gray and mottled OR capillary refill ≥5 seconds OR tachycardia of 30 bpm above normal OR bradycardia 3
Respiratory
Within normal parameters, no retractions 0
>10 above normal parameters using accessory muscles OR 30+ %FiO2 or 3+ L/min 1
>20 above normal parameters and retractions OR 40+ %FiO2 or 6+ L/min 2
Five below normal parameters with retractions and grunting OR 50% FiO2 or 8+ L/min 3
Quarter hourly nebulizers (every 15 minutes)
No 0
Yes 1
Quarter hourly nebulizers (every 15 minutes
No 0
Yes 1
Result:

Background

Result Interpretation

Ranges Ranges