Pediatric Early Warning Score (PEWS)
Identifies pediatric patients at risk for clinical deterioration.
When to Use
Pearls/Pitfalls
Why Use
Playing/appropriate
0Sleeping
+1Irritable
+2Lethargic/confused or reduced response to pain
+3Pink OR capillary refill 1–2 seconds
0Pale OR capillary refill 3 seconds
+1Gray OR capillary refill 4 seconds OR tachycardia of 20 bpm above normal
+2Gray and mottled OR capillary refill ≥5 seconds OR tachycardia of 30 bpm above normal OR bradycardia
+3Within normal parameters, no retractions
0>10 above normal parameters using accessory muscles OR 30+ %FiO2 or 4+ L/min
+1>20 above normal parameters and retractions OR 40+ %FiO2 or 6+ L/min
+2Five below normal parameters with retractions and grunting OR 50% FiO2 or 8+ L/min
+3No
0Yes
+1No
0Yes
+1Result:
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