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    National Early Warning Score (NEWS)

    Determines the degree of illness of a patient and prompts critical care intervention.
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    IMPORTANT

    The NEWS2 Score is recommended by the NHS (UK) as an updated version of the original NEWS.

    When to Use
    Pearls/Pitfalls
    Why Use

    The NEWS can be used on all hospitalized patients to allow for the early detection of clinical deterioration and potential need for higher level of care.

    • The National Early Warning Score (NEWS) was developed to standardize the approach to detection of clinical deterioration in acutely ill patients in the United Kingdom.
    • This new standard has still not been fully embraced by the medical community in the UK or elsewhere.
    • It is hoped that adopting a single early warning score system will facilitate and standardize training in their use.
    • NEWS should not be used in patients under 16 years of age, and pregnant women.
    • The physiological parameters of the NEWS score were derived from existing early warning systems and agreed on by members of the NEWSDIG group.
    • The NEWS was retrospectively validated against other EWS and found to be more sensitive than most earlier scores. This validation has not yet been published.
    • Patients with low NEWS can continue receiving their usual care and observation.
    • Patients with high NEWS should be watched more attentively and considered for transfer to a higher care unit such as an ICU.
    ≤8
    +3
    9-11
    +1
    12-20
    0
    21-24
    +2
    ≥25
    +3
    ≤91%
    +3
    92-93%
    +2
    94-95%
    +1
    ≥96%
    0
    No
    0
    Yes
    +2
    ≤35°C / 95°F
    +3
    35.1-36°C / 95.1-96.8°F
    +1
    36.1-38°C / 96.9-100.4°F
    0
    38.1-39°C / 100.5-102.2°F
    +1
    ≥39.1 °C / 102.3°F
    +2
    <90
    +3
    91-100
    +2
    101-110
    +1
    111-219
    0
    ≥220
    +3
    ≤40
    +3
    41-50
    +1
    51-90
    0
    91-110
    +1
    111-130
    +2
    ≥131
    +3
    A
    0
    V, P or U
    +3

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Management

    Once the NEWS identifies a patient at risk of deterioration, the medical team will need to identify the cause and address it accordingly.

    Critical Actions

    • This score can be used by any healthcare worker with proper training in how to use it and interpret the results.
    • It is meant to be used on a regular basis rather than once on admission.
    Content Contributors
    About the Creator
    Dr. Gary B. Smith
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