Paediatric Early Warning Score Calculator Sponsored Advertising placement Paediatric Early Warning Score (Brighton PEWS) Clinical Decision Tool Calculates the Brighton Paediatric Early Warning Score from behaviour, cardiovascular and respiratory observations, with two optional additional factors. Behaviour 0 — Playing or appropriate 0 1 — Sleeping +1 2 — Irritable +2 3 — Lethargic, confused or reduced response to pain +3 Cardiovascular 0 — Pink, or capillary refill 1–2 seconds 0 1 — Pale, or capillary refill 3 seconds +1 2 — Grey, or capillary refill 4 seconds, or heart rate ≥20 above normal for age +2 3 — Grey and mottled, or capillary refill ≥5 seconds, or heart rate ≥30 above normal for age, or bradycardia +3 Respiratory 0 — Within normal range for age; no recession 0 1 — Respiratory rate ≥10 above normal, accessory muscle use, or oxygen ≥30% +1 2 — Respiratory rate ≥20 above normal, recession, or oxygen ≥40% +2 3 — Respiratory rate ≥5 below normal with recession or grunting, or oxygen ≥50% +3 Nebulisers Every 15 Minutes or Continuously No 0 Yes — add 2 points +2 Persistent Vomiting Following Surgery No 0 Yes — add 2 points +2 Calculate Paediatric Early Warning Score (Brighton PEWS) Clear Calculator ☆ Log in to save Save this calculator to your MDPDA account. + Add to Toolkit Log in to save incomplete calculator progress and return later. Log in to save progress Clinical Decision Support Only MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress. Read our Clinical Disclaimer Sponsored Advertising placement