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Table 1 EWS in Central Denmark Region [TOKS]

From: Including oxygen supplement in the early warning score: a prediction study comparing TOKS, modified TOKS and NEWS in a cohort of emergency patients

Vital signs

3

2

1

0

1

2

3

SysBP (mm Hg)

< 70

≥70 - < 80

≥80 - < 100

≥100 - < 200

 

≥200

 

HR (beats pr. min)

 

< 40

≥40 - < 50

≥50 - < 90

≥90 - < 110

≥110 - < 130

≥130

Temp. (°C)

< 34

≥34 - < 36

 

≥36 - < 38

≥38 - < 39

≥39 - < 40

≥40

RR (breaths pr. min)

<  9

 

≥9 - < 12

≥12 - < 21

 

≥21 - < 25

≥25

SAT (%)

< 85

≥85 - < 90

≥90 - < 93

≥ 93

   

LOC

  

Agitated

A

V

P

U

  1. sysBT systolic blood pressure, HR Heart rate, Temp. Temperature, RR Respiration rate, SAT Saturation, LOC Level of consciousness, A Alert, V Voice, P Pain, U Unresponsive