Could utilising a paediatric early warning score better indicate adverse patient outcomes in the prehospital setting?

Topic:
Could utilising a paediatric early warning score better indicate adverse patient outcomes in the prehospital
setting?

Description
Results -1000words
Discussion – 1800 words
Conclusion – 300 words
This question was considered because the UK uses a standard National Early Warning Score (NEWS2) to
identify deteriorating adults. Using their initial baseline observations and regular reassessment NEWS2 has
become the national standard and an effective numerical indicator for deterioration or improvement from
baseline, which then informs treatment plans and easily communicates urgency to fellow clinicians – There
isn’t a standard Paediatric early warning score (PEWS) – some facilities utilise their own scores – some
ambulance trusts don’t use them at all instead rely on the paediatric assessment triangle and paediatric sepsis
screening tools alone. Children are known to compensate well for so long but then deteriorate rapidly – could
using a standard PEWS better identify these children at risk of rapid deterioration?
3 databases were used – MEDLINE, CINAHL and Embase. 4 articles were identified – 3 have been attached
but the 4th- Association of out of gospital paediatric early warning score with need for hospital admission in
a Scottish emergency ambulance population by Corfield et Al. 2020 won’t upload? Could be emailed?