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Emergency & Critical Care
MEWS (Modified Early Warning Score)
MEWS — Modified Early Warning Score
Detects clinical deterioration early — triggers escalation based on vital signs
0
MEWS Score — select parameters below
Systolic BP (mmHg)
0
Heart Rate (bpm)
0
Respiratory Rate (/min)
0
Temperature (°C)
0
AVPU Response
0
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MEWS Score
MEWS Escalation Thresholds
| Score | Risk | Action |
|---|---|---|
| 0–4 | Low | Routine monitoring; increase frequency if trending up |
| 5–6 | Medium | Notify nurse in charge; increase monitoring frequency; consider medical review |
| ≥7 | High | Notify doctor immediately; consider MET/RRT activation; urgent assessment |
MEWS = SBP score + HR score + RR score + Temp score + AVPU score
Range: 0–14
Range: 0–14
Clinical Note: MEWS is most useful for trend monitoring — a rising score warrants escalation even if absolute value is low. Different institutions may use NEWS (National Early Warning Score) with slightly different thresholds. Single elevated parameter ≥3 should trigger review regardless of total score.
For clinical decision support only. Not a substitute for professional medical judgment.