Calc Function

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    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
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    Patent Pending

    National Early Warning Score (NEWS) 2

    Determines the degree of illness of a patient and prompts critical care intervention (recommended by NHS over original NEWS).
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    INSTRUCTIONS

    Recommended by the NHS (UK) over the original NEWS.

    When to Use
    Pearls/Pitfalls

    • Patients ≥16 years old.

    • Do not use in children <16 years old or pregnant patients.

    • The Royal College of Physicians recommends the NEWS2 in the following settings:

      • Emergency: for initial assessment, serial monitoring, and assessment for triage.

      • Ward: for initial inpatient assessment and serial monitoring.

      • Prehospital: for communication of illness severity to receiving hospitals.

    May not be reliable in patients with spinal cord injury due to functional disturbance of autonomic responses.

    ≤8
    +3
    9-11
    +1
    12-20
    0
    21-24
    +2
    ≥25
    +3
    No
    Yes
    Supplemental O₂
    +2
    Room air
    0
    ≤35.0°C (95°F)
    +3
    35.1-36.0°C (95.1-96.8°F)
    +1
    36.1-38.0°C (96.9-100.4°F)
    0
    38.1-39.0°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
    Alert
    0
    New-onset confusion (or disorientation/agitation), responds to voice, responds to pain, or unresponsive
    +3

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    The NEWS2 (and any early warning score) should be used as an adjunct to clinical judgment, not to replace it. Any concern about a patient’s clinical condition should prompt urgent investigation regardless of early warning scores.

    About the Creator
    Dr. Gary B. Smith
    Are you Dr. Gary B. Smith?