MDCalc

National Early Warning Score (NEWS) 2

Determines the degree of illness of a patient and prompts critical care intervention (recommended by NHS over original NEWS).

Tips for COVID-19: Use for Crisis Standards of Care. Used for subgroup analyses (not for Crises Standards of Care) in Cao et al (2020) NEJM’s Lopinavir-Ritonavir study in COVID-19.

Recommended by the NHS (UK) over the original NEWS

Respiratory rate, breaths per minute

Hypercapnic respiratory failure

Room air or supplemental O₂

Temperature

Systolic BP, mmHg

Pulse, beats per minute

Consciousness

Result:

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Advice

The NEWS2 (and any early warning score) should be used as an adjunct to clinical judgment, not to replace it. Any concern about a patient’s clinical condition should prompt urgent investigation regardless of early warning scores.