This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.

Bedside PEWS (Parshuram)

Seven items with age-dependent thresholds for heart rate, respiratory rate and blood pressure – 0–26 points, threshold 8

Details

Age

Vital signs

Heart rate (/min)

Respiratory rate (/min)

Systolic blood pressure (mmHg)

SpO₂ (%)

Capillary refill time

under 3 seconds 0 3 seconds or longer 4

Work of breathing

normal 0 mildly elevated 1 moderately elevated 2 markedly elevated or apnea 4

Oxygen therapy

Room air 0 Oxygen below 4 l/min or below 50 % 2 Oxygen 4 l/min and above or 50 % and above 4

Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.

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Sources

Development and initial validation of the Bedside Paediatric Early Warning System score (Crit Care 13:R135) – Table 1 Parshuram CS, Hutchison J, Middaugh K, 2009. Original paper (freely accessible, full text read)

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Note

Calculation aid for healthcare professionals. Clinical assessment remains with the treating physician.

Review date of the German original: 2026-11-05 · Methodology

Frequently asked questions

Bedside PEWS (Parshuram): What does this calculator compute?

Bedside Paediatric Early Warning System Score (Parshuram 2009): heart rate, respiratory rate and systolic blood pressure are scored by age (0–3 months to over 12 years) with 0/1/2/4 points, plus capillary refill time, work of breathing, saturation and oxygen requirement – total 0–26; from 8 points sensitivity 82 % and specificity 93 % for urgent intensive care admission.

Bedside PEWS (Parshuram): Which sources is this calculator based on?

Parshuram CS, Hutchison J, Middaugh K: Development and initial validation of the Bedside Paediatric Early Warning System score (Crit Care 13:R135) – Table 1 (2009)