This is a pragmatic approach, with a key emphasis on system-wide standardisation and the use of physiological parameters that are already routinely measured in NHS hospitals and in prehospital care, recorded on a standardised clinical chart – the NEWS2 chart. The score is then aggregated and uplifted by 2 points for people requiring supplemental oxygen to maintain their recommended oxygen saturation. This would score 3 or 4 on the GCS (rather than the normal 5 for verbal response), and scores 3 on the NEWS system.Ī score is allocated to each parameter as they are measured, with the magnitude of the score reflecting how extremely the parameter varies from the norm. ![]() The patient may respond to questions coherently, but there is some confusion, disorientation and/or agitation. *The patient has new-onset confusion, disorientation and/or agitation, where previously their mental state was normal – this may be subtle. level of consciousness or new confusion*.Six simple physiological parameters form the basis of the scoring system: ![]() The NEWS is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice, when patients present to, or are being monitored in hospital.
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