The Brighton Paediatric Early Warning Score (PEWS) modified for use in our department.

A maximum of 3 points can be assigned for each of 3 main components (respiration, circulation, and behavior/‘disability’). In addition, 2 additional points can be awarded if either continuous inhalation medications or continuous positive airway pressure (CPAP) treatments are being administered, and 2 additional points for the presence of persistent postoperative vomiting. Hence, the score ranges from 0 to 13, with zero representing a normal physiologic state.