Behavior / Neurological

0 — Playing/awake and appropriate+01 — Sleeping+12 — Irritable or reduced activity+23 — Lethargic/confused OR reduced response to pain+3

Cardiovascular

0 — Pink, CRT 1–2 seconds, HR normal for age+01 — Pale OR CRT 3 seconds OR HR elevated 20 above normal+12 — Grey/mottled OR CRT 4 seconds OR HR elevated 30 above normal OR HR decreased 10 below normal+23 — Grey/mottled + CRT ≥ 5 seconds OR HR elevated ≥ 30 above normal with bradycardia+3

Respiratory

0 — Normal respiratory rate + no retractions + SpO₂ ≥ 95% in room air+01 — RR elevated > 10 above normal OR FiO₂ ≥ 0.24 or ≥ 2 L/min to maintain SpO₂+12 — RR elevated > 20 above normal OR retractions + FiO₂ ≥ 0.40 or ≥ 4 L/min to maintain SpO₂+23 — RR ≥ 5 below normal with retractions and LOC, OR FiO₂ ≥ 0.50 or ≥ 8 L/min to maintain SpO₂+3

Persistent Vomiting After Surgery

No post-operative vomiting (or not applicable)+0Post-operative persistent vomiting (+2 pts)+2

PEWS — Pediatric Early Warning Score

PEWS — Pediatric Early Warning Score