Table 1. Prototype Modified Early Warning Scoring System constructed from the literature.
3 | 2 | 1 | 0 | 1 | 2 | 3 | |
Respiratory rate/min | 9 or less | 9–14 | 15–20 | 21–29 | 30 or more | ||
SaO2 | <85 | 85–89 | 90–92 | 93+ | |||
Heart rate/min | 40 or less | 41–50 | 51–100 | 101–110 | 111–129 | 130 or more | |
BP systolic | 70 or less | 71–80 | 81–100 | 101–199 | 200 or more | ||
Temperature oC | 35 or less | 35–38.4 | 38.5 or more | ||||
NEUROLOGICAL STATUS Glasgow Coma Scale (GCS) | 15 | 14 Change in mentation | GCS 13–9 | GCS ≤8 or unresponsive | |||
OR AVPU | Alert | Reacting to voice | Reacting to pain | Unresponsive | |||
Urine mls/kg/hr | 0.5 ml/kg/1 hr or less | 1 ml/kg/1 hr or less | If normally anuric score 0 | 3 ml/kg/1 hr or more |