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National Early Warning Score (NEWS) 2
Dec 23, 2020
•
Mark Morgan
categories:
Infectious Disease
Cardiovascular
National Early Warning Score (NEWS) 2
Alert
Confusion
responds to Voice
responds to Pain
Unresponsive
<-- Level of Consciousness
≤35.0 degrees C (95.0 degrees F)
35.1–36.0 degrees C (95.1-96.8 degrees F)
36.1–38.0 degree C (96.9-100.4 degrees F)
38.1–39.0 degrees C (100.5-102.2 degrees F)
≥39.1 degrees C (≥102.2 degrees F)
<-- Temperature
≤40 beats per minute
41-50 beats per minute
51-90 beats per minutes
91-110 beats per minute
111-130 beats per minute
≥131 beats per minute
<-- Heart Rate
≤90 mmHg
91–100 mmHg
101–110 mmHg
111–219 mmHg
≥220 mmHg
<-- Systolic Blood Pressure
≤8 breaths per minute
9-11 breaths per minute
12-20 breaths per minute
21-24 breaths per minute
≥25 breaths per minute
<-- Respiratory Rate
≤91%
92-93%
94-95%
≥96%
<-- Oxygen Saturation
Not Needed (Room Air)
Supplemental Oxygen Required
<-- Supplemental Oxygen
Score -->
number
score_0=(variable_1)/10+(variable_2)/100+(variable_3)/1000+(variable_4)/10000+(variable_5)/100000+(variable_6)/1000000+(variable_7)/10000000
Number of Parameters with Extreme Variation -->
extreme values
score_1=Math.floor((variable_1)/30)+Math.floor((variable_2)/300)+Math.floor((variable_3)/3000)+Math.floor((variable_4)/30000)+Math.floor((variable_5)/300000)+Math.floor((variable_6)/3000000)
Risk Interpretation -->
clinical risk
score_2=(score_1)*100+(score_0);score_2>206?'High':score_2>200?'Medium':score_2>106?'High':score_2>104?'Medium':score_2>102?'Low-Medium':score_2>6?'High':score_2>4?'Medium':'Low'
Suggested Action -->
intervention
score_3=(score_1)*100+(score_0);score_3>206?'Emergency assessment':score_3>200?'Urgent clinician review':score_3>106?'Emergency assessment':score_3>104?'Urgent clinician review':score_3>102?'Urgent clinician review':score_3>6?'Emergency assessment':score_3>4?'Urgent clinician review':'Assessment by nurse'
display/hide references
reference:
#1
Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Updated report of a working party. London: RCP, 2017.
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