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2.11 - Importance of Monitoring and Responding to Trends in Physiological Variables
from Section 2 - Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- By Claire Moorthy
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 75-78
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Summary

Key Learning Points
1. The aims are to detect clinical deterioration early in all hospitalised patients.
2. Most NHS hospitals use some form of Early Warning Score (EWS).
3. The Royal College of Physicians (RCP) supports the use of a nationally standardised track and trigger system – the National Early Warning Score (NEWS) 2.
4. The NEWS systems aim to support consistent clinical decision-making.
5. A graded clinical response is triggered, dependent on the score, based on simple physiological parameters and their degree of deviation from the normal values.