Pediatric Early Warning Score (PEWS)
Total PEWS Score
0 / 9+
Risk Escalation Category
Low Risk (Green)
Clinical Action Trigger
Standard 4-Hourly Observations
1. Behavior / Neurological
2. Cardiovascular
3. Respiratory
⚡ Clinical Risk Modifiers (+2 Points Each)
PEWS Clinical Escalation Protocol:
- Score 0–2 (Low Risk / Green): Standard 4–6 hourly vital signs monitoring.
- Score 3–4 (Medium Risk / Yellow): Increase vital checks to 2-hourly; inform charge nurse; medical review if persistent.
- Score 5–6 (High Risk / Amber): Urgent bedside review by Pediatric Registrar within 30 minutes; consider PICU outreach team.
- Score ≥ 7 (Critical / Red): Immediate Pediatric Rapid Response Team (RRT) / MET Call / Pediatric Intensive Care Unit (PICU) activation.