![]() The overall score comprises of their sum (from 0 to 12) and the results are divided in risk categories: The answers chosen in each of the four items of the score are awarded a number of points as presented below. This score is used predominantly to increase the efficiency of emergency room response and to stratify pediatric patient risk, similar to what the modified early warning score, MEWS does in the case of adult patients. There are several studies trying to validate the model available and most of them have shown it has a high sensitivity in identifying patient deterioration. ![]() This pediatric early warning score (PEWS) calculator can be used to assess respiratory distress in children with pneumonia presentation and although similar in method with the pediatric GCS the main target is to stratify risk in order to ensure patients are viewed in the order of gravity. ■ 3 BMs/emesis in the last 12h (3 points). ■ 3 BMs/emesis events in the last 12h (2 points) ■ 2 BMs/emesis events in the last 12h (1 point) ■ Reaching target urine output goal of 0.5-1mL/kg/h and 0-1 BMs/emesis events in the last 12h (0 points) ■ RR 5 or below normal or S pO 2 <90% or retractions and grunting (3 points). ■ RR>20 above normal limits or S pO 2 90-93% or retractions (2 points) ■ S pO 2 94-97% on RA OR using accessory muscles (1 point) ■ RR >10 above normal limits or S pO 2 98-100% on any O 2 device (1 point) ■ Within normal rate, no retractions and S pO 2 98-100% on RA (0 points) ■ Heart rate 30 above or below normal heart rate (3 points).ģ) Respiratory – evaluates saturation in oxygen and breathing rate: ■ Grey and mottled or capillary refill time >4 seconds (3 points) ■ Heart rate 20 above or below normal rate (2 points) ■ Grey or capillary refill time 4 seconds (2 points) ![]() ■ Pale or capillary refill time 3 seconds (1 point) ■ Lethargic, confused or reduced response to pain (3 points).Ģ) Cardiovascular – observes teguments and capillary refill time as well as pulse: ■ Irritable and NOT consolable (2 points) ■ Playing or sleeping comfortably (0 points) The criteria observed are described below:ġ) Behavior – examines the appearance and actions of the child, similar to criteria used in AVPU evaluations: It is a very straight forward and quick to use questionnaire to be filled in during the ER assessment and during subsequent pediatric evaluations. This is a health tool that aims to be the adaptation of the national early warning score for infants and children. How does this pediatric early warning score (PEWS) calculator work? ![]()
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