Systolic Blood Pressure (mmHg)

SBP ≤ 70 mmHg — Severe hypotension+3SBP 71–80 mmHg — Significant hypotension+2SBP 81–100 mmHg — Mild hypotension+1SBP 101–199 mmHg — Normal range+0SBP ≥ 200 mmHg — Hypertension+2

Heart Rate (bpm)

HR ≤ 40 bpm — Bradycardia+2HR 41–50 bpm — Mild bradycardia+1HR 51–100 bpm — Normal+0HR 101–110 bpm — Mild tachycardia+1HR 111–129 bpm — Moderate tachycardia+2HR ≥ 130 bpm — Severe tachycardia+3

Respiratory Rate (breaths/min)

RR < 9 breaths/min — Severe bradypnea (opioid toxicity, CNS depression)+2RR 9–14 breaths/min — Normal+0RR 15–20 breaths/min — High-normal / mild tachypnea+1RR 21–29 breaths/min — Moderate tachypnea+2RR ≥ 30 breaths/min — Severe tachypnea+3

Temperature (°C)

Temp < 35.0°C — Hypothermia+2Temp 35.0–38.4°C — Normal / low-grade fever+0Temp ≥ 38.5°C — Fever / hyperpyrexia+2

Level of Consciousness (AVPU Scale)

A — Alert (fully awake, oriented, responds appropriately)+0V — Voice (responds to verbal stimuli but not fully alert)+1P — Pain (responds only to painful stimulus)+2U — Unresponsive (no response to any stimulus)+3

MEWS — Modified Early Warning Score

MEWS — Modified Early Warning Score