What does PEWS measure?

PEWS evaluates three domains: behavior (0-2: playing/appropriate, sleeping, irritable/confused, lethargic/reduced response), cardiovascular (0-2: pink/normal CRT, pale/CRT 3s, grey/CRT 4s+), and respiratory (0-2: normal, increased work, markedly increased work).

What action is required at different PEWS thresholds?

PEWS 0-3: routine monitoring. PEWS 4-5: notify medical team for review. PEWS 6+: immediate senior review and consider ICU/HDU transfer. Any single subscore of 2 warrants escalation regardless of total.

How does PEWS compare to other early warning scores?

PEWS is specifically designed for pediatric inpatients and has shown better sensitivity for identifying children who need emergency intervention compared to adult early warning scores adapted for children.

Pediatric Early Warning Score (PEWS)

Calculate PEWS to identify deteriorating children in hospital: behavior, cardiovascular, respiratory subscores (0-2 each); score 4+ triggers review, 6+ ICU assessment.

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Pediatric Early Warning Score (PEWS)

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Frequently Asked Questions

What does PEWS measure?

What action is required at different PEWS thresholds?

How does PEWS compare to other early warning scores?