Measurements: - NEWS (national early warning system): for all patients (1)
| Â Score | Â 3 | Â 2 | Â 1 | Â 0 | Â 1 | Â 2 | Â 3 | Â Pulse (/min)
| Â | Â <=40 | 41-50
| 51-90
| 91-110
| 111-130
| >=131
| Repiratory rate (/min)
| <=8
| Â | 9-11
| 12-20
| Â | 21-24
| >=25
| Temperature (° C)
| <=35
| Â | 35.1-36.0
| 36.1-38.0
| 38.1-39.0
| >=39.1
| Â | Systolic blood pressure (mmHg)
| <=90
| 91-100
| 101-110
| 111-249
| >=250
| Â | Â | Â Oxygen saturation (%)
| <=91
| 92-93
| 94-95
| >=96
| Â | Â | Â | Â Inspired oxygen
| Â | Â | Â | Â Air | Â | Â | Â any oxygen therapy
| | Â AVPU | Â | Â | Â | Â Alert | Â | Â | Â Voice
Pain
Unresponsive |
- CREWS (chronic respiratory early warning system): to use in patients with chronic hypoxaemia (2)
| Â Score | Â 3 | Â 2 | Â 1 | Â 0 | Â 1 | Â 2 | Â 3 | Â Pulse (/min)
| Â | Â <=40 | 41-50
| 51-90
| 91-110
| 111-130
| >=131
| Repiratory rate (/min)
| <=8
| Â | 9-11
| 12-20
| Â | 21-24
| >=25
| Temperature (° C)
| <=35
| Â | 35.1-36.0
| 36.1-38.0
| 38.1-39.0
| >=39.1
| Â | Systolic blood pressure (mmHg)
| <=90
| 91-100
| 101-110
| 111-249
| >=250
| Â | Â | Â Oxygen saturation (%)
| <=91
| 92-93
| 94-95
| >=96
| Â | Â | Â | Â Inspired oxygen
| Â | Â | Â | Â Air | Â | Â | Â any oxygen therapy
| | Â AVPU | Â | Â | Â | Â Alert | Â | Â | Â Voice
Pain
Unresponsive
|
Treatment (1): | Â EWS | minimal observation frequency
| Â recorder's action
| doctor's action
| 3-5
| 4 hourly
| inform nurse in charge
| Â | | Â 6 | 4 hourly
| inform doctor
| doctor to see within 1 hour
| 7-8
| 1 hourly
| inform doctor, consider continous monitoring
| doctor to see within 30 minutes and discuss with senior doctor and/or outreach team
| | Â >=9 | 30 minutes
| Â inform doctor, start continous monitoring
| doctor to see within 15 minutes and discuss with senior doctor and ICU team
| | Â | Â | Â | Â |
References: - ViEWS - Towards a national early warning score for detecting adult in-patients deterioration. Resuscitation. 2010;81(8):932-7: full text | pdf.
- Eccles SR et al. CREWS: improving specificity whilst maintaining sensitivity of the National Early Warning Score in patients with chronic hypoxaemia. Resuscitation 2014;85:109-11: full text | pdf.
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