| Airway | is currently maintaining her own airway (but has a reduced GCS so needs close monitoring). |
| Breathing | Respiratory rate is 27 bpm, SpO2 99% on 15 L. No audible wheeze. |
| Circulation | Heart rate 110 bpm on monitor, appears to be in sinus rhythm with ventricular ectopics, pulse feels weak and slightly irregular BP 87/35 MAP 64, skin temp cool, temp 38.1°C. |
| Disability | Pupils size 4 equal and reacting to light. Responds to voice, BM 11.5 mmols/L. |
| Exposure | Examined skin, cool to touch, sacrum no broken skin but red and blanching. Legs look oedematous and red, small blister on right leg. |
Establish EWS Score
Select the appropriate EWS score to proceed:
Incorrect - please view the data and try again.
Correct - needs urgent medical attention!
