TABLE 2.
Modified Early Warning Signs and Sepsis Recognition Score Example
| Criteria | Score | ||||||
|---|---|---|---|---|---|---|---|
| 3 | 2 | 1 | 0 | 1 | 2 | 3 | |
| Temperature, °F | < 95 | 95–101.1 | > 101.1 | ||||
| Heart rate, beats per min | < 40 | 40–44 | 45–50 | 51–100 | 101–110 | 111–129 | > 130 |
| RR, breaths per min | < 7 | 8 | 9 | 10–14 | 15–20 | 21–29 | ≥ 30 |
| SBP, mm Hg | ≤ 70 | 71–80 | 81–100 | 101–160 | 161–180 | 181–199 | > 200 |
| Mental status change | Unresponsive; coma | Responds to pain | Responds to voice | Alert | Mildly agitated or confused | Very agitated | Extremely agitated |
| Latest WBC, mcL | < 1 | 1–2.9 | 3–14.9 | 15–19.9 | 20–39.9 | ≥ 40 | |
Abbreviations: RR, respiratory rate; SBP, systolic blood pressure; WBC, white blood count.