Table 1.
Modified Pediatric Early Warning Score (PEWS).
| Category | Score | |||
| 0 | 1 | 2 | 3 | |
| Behavior | Playing, appropriate, at patient’s baseline | Inappropriately sleepy or fussy but consolable | Irritable or inconsolable | Lethargic/confused or reduced response to pain |
| Cardiovascular | Pink or capillary refill <2 seconds | Pale or capillary refill 3-4 seconds or mild tachycardia or single ventricle shunted (BTa shunt or Norwood/Sano) | Gray/dusky or capillary refill 4-5 seconds or moderate tachycardia | Gray/mottled or capillary refill >5 seconds or severe tachycardia or new onset bradycardia |
| Respiratory | Within normal parameters, no retractions | Mild tachypnea or using accessory muscles or >30% FiO2 or >0.5 L/min/kg |
Moderate tachypnea or retractions or >40% FiO2 or >1 L/min/kg | Severe tachypnea or RRb < normal for age or >50% FiO2 or >1.5 L/min/kg |
aBT: Blalock-Taussig.
bRR: respiratory rate.