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. 2018 Dec 1;8(4):154–167. doi: 10.6705/j.jacme.201812_8(4).0003

Supplement Table 4. Modified Early Warning Score.

AVPU: alert, voice, pain, unresponsive scale; HR: heart rate; SBP: systolic blood pressure.

 

3

2

1

0

1

2

3

SBP (mmHg)

< 70

71–80

81–100

101–199

 

≥ 200

 

HR (bpm)

 

< 40

41–50

51–100

101–110

111–129

≥ 130

Respiratory rate (bpm)

 

< 9

 

9–14

15–20

21–29

≥ 30

Temperature (°C)

 

< 35.0

 

35.0–38.4

 

≥ 38.5

 

AVPU score

 

 

 

Alert

Reaction to voice

Reaction to pain

Unresponsive