There are many types of early warning charts in use:
Modified early warning score (Table 1)
Example EWSS 2 (Table 2)
Example EWSS 3 (Table 3)
| Sign | Measure |
| Respiratory rate | Breaths per minute (bpm) |
| Heart rate | Beats per minute (bpm) |
| Blood pressure | mmHg |
| Conscious level | AVPU scale |
| Temperature | Degrees Celcius |
| Urine output | ml per hour |
Table 1 Modified early warning score
| PUP Score |
5 |
2 |
1 |
0 |
1 |
2 |
5 |
|
Temp |
|
≤35 |
35-38 |
38.1-38.4 |
>38.5 |
|
|
|
Systolic BP |
≤80 |
81-90 |
91-100 |
101-180 |
181-199 |
≥200 |
|
|
Heart rate |
|
≤40 |
41-49 |
50-90 |
91-120 |
121-139 |
≥140 |
|
Respiratory rate |
≤8 |
|
|
|
21-26 |
|
≥40 |
| CNS score | New confusion/agitation | Alert (A) | Responds to voice (V) | Responds to pain (P) | Unresponsive (U) | ||
| Urine output |
≤15 ml/h |
16-29 ml/h |
More than 30 ml/h |
Table 2 Example EWSS 2
|
3 |
2 |
1 |
0 |
1 |
2 |
3 |
|
|
Respiratory rate per minute |
|
<8 |
9-14 |
15-20 |
21-29 |
>30 |
|
|
Heart rate per minute |
<40 | 40-50 | 51-100 | 101-110 | 111-129 |
>129 |
|
|
Systolic blood pressure |
<70 |
71-80 | 81-100 | 101-199 | >200 |
|
|
| Conscious level (AVPU) | Unresponsive (U) |
Responds to pain (P) |
Responds to voice (V) |
Alert (A) |
new agitation/confusion |
|
|
| Temperature (oC) | <35.0 | 35.1-36.0 | 36.1-38.0 | 38.1-38.5 | >38.6 | ||
| Hourly urine for 2 hours | <10 ml/h | <30 ml/h | <45 ml/h |