Paediatric Early Warning Score Calculator

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Paediatric Early Warning Score (Brighton PEWS)

Clinical Decision Tool

Calculates the Brighton Paediatric Early Warning Score from behaviour, cardiovascular and respiratory observations, with two optional additional factors.

Behaviour

0 — Playing or appropriate 0 1 — Sleeping +1 2 — Irritable +2 3 — Lethargic, confused or reduced response to pain +3

Cardiovascular

0 — Pink, or capillary refill 1–2 seconds 0 1 — Pale, or capillary refill 3 seconds +1 2 — Grey, or capillary refill 4 seconds, or heart rate ≥20 above normal for age +2 3 — Grey and mottled, or capillary refill ≥5 seconds, or heart rate ≥30 above normal for age, or bradycardia +3

Respiratory

0 — Within normal range for age; no recession 0 1 — Respiratory rate ≥10 above normal, accessory muscle use, or oxygen ≥30% +1 2 — Respiratory rate ≥20 above normal, recession, or oxygen ≥40% +2 3 — Respiratory rate ≥5 below normal with recession or grunting, or oxygen ≥50% +3

Nebulisers Every 15 Minutes or Continuously

No 0 Yes — add 2 points +2

Persistent Vomiting Following Surgery

No 0 Yes — add 2 points +2

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MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress.

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