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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    Pediatric Early Warning Score (PEWS)

    Identifies pediatric patients at risk for clinical deterioration.
    When to Use
    Pearls/Pitfalls
    Why Use

    Pediatric inpatients.

    • Originally developed to provide a practical and objective method to identify pediatric inpatients at risk for cardiac arrest.
    • Can be used by staff and providers at all levels to escalate care for sick patients.

    Provides an objective measurement for patients who “look sick.”

    Playing/appropriate
    0
    Sleeping
    +1
    Irritable
    +2
    Lethargic/confused or reduced response to pain
    +3
    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
    Within 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
    +2
    Five below normal parameters with retractions and grunting OR 50% FiO2 or 8+ L/min
    +3
    No
    0
    Yes
    +1
    No
    0
    Yes
    +1

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights
    Mr. Alan Monaghan

    About the Creator

    Alan Monaghan, MSc, is a senior lecturer at the University of Brighton in the United Kingdom. His current research focuses on implementation of pediatric early warning scores in the community setting and has completed research on pediatric critical care nursing.

    To view Mr. Alan Monaghan's publications, visit PubMed

    Are you Mr. Alan Monaghan? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Mr. Alan Monaghan
    Are you Mr. Alan Monaghan?
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