Monaghan reported an early warning score for detecting deterioration in pediatric patients.
Parameters:
(1) behavior
(2) respiratory
(3) cardiovascular
(4) add-ons
|
Parameter
|
Finding
|
Points
|
|
behavior
|
playing, appropriate
|
0
|
|
|
sleeping
|
1
|
|
|
irritable
|
2
|
|
|
lethargic, confused, reduced response to pain
|
3
|
|
respiratory
|
normal; no recession or tracheal tug
|
0
|
|
|
10 above normal parameters; using accessory muscles; 30+% FIO2; 4-5.9 liters per minute
|
1
|
|
|
> 20 above normal; recession; tracheal tug; 40% FIO2; 6-7.9 liters per minute
|
2
|
|
|
5 below normal with sternal recession/retractions, tracheal tug or grunting; 50% FIO2 or 8+ liters per minute
|
3
|
|
cardiovascular
|
pink; capillary refill 1-2 seconds
|
0
|
|
|
pale; capillary refill 3 seconds
|
1
|
|
|
grey; capillary refill 4 seconds; tachycardia with pulse 20 above normal
|
2
|
|
|
grey; mottled; capillary refill >= 5 seconds above; bradycardia; tachycardia 30 above normal
|
3
|
|
add-on for Q15 minutes bronchodilators
|
no
|
0
|
|
|
yes
|
2
|
|
add-on for persistent vomiting following surgery
|
no
|
0
|
|
|
yes
|
2
|
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 13
