| EWS Score: | 3 | 2 | 1 | 0 | 1 | 2 | 3 |
| Temp | < 35 | 35.1 - 36 | 36.1 - 38 | 38.1 - 39 | > 39 | ||
| Systolic BP | < 80 | 81 - 90 | 91 - 100 | 101 - 219 | > 220 | ||
| HR | < 40 | 41 - 50 | 51 - 100 | 101 - 110 | 111 - 129 | > 130 | |
| RR | < 8 | 9 - 11 | 12 - 20 | 21 - 29 | > 30 | ||
| Oxygen % | > 40% / 10L | 15 Litres | |||||
| Neuro (AVPU) | New weakness Pupil deficit |
Newly confused / Agitated | Alert | Voice | Pain | Unresponsive | |
| Urine Output | < 10ml / hr | < 20ml / hr | < 30ml / hr | Not passed urine in 6 hours | Not passed urine in 12 hours | Not passed urine in 18 hours | |
| Patients who have a catheter or are on a fluid monitoring chart score as above | For all other patients score as above | ||||||
EWS Scoring Criteria
