Case 1

A 26-year-old female presents 2 hours following a caesarean section.

Observations:

Question: Looking at the EWSS in Table 1, note her observations in bold text on the chart.

Answer

Score

3

2

1

0

1

2

3

RR

<9

9-14

15-20

21-29

30+

HR

<40

41-50

51-100

101-110

111-129

130+

Sys BP

<70

70-79

80-99

100-170

171-199

200+

CNS

Agitated

Alert

Responds to voice

Responds to pain

Unresponsive

Temp

<35

35-37.9

38-38.4

38.5+

Urine

<20 ml/h

<30 ml/h

<40 ml/h

Table 1 EWSS with patient results highlighted

A 26-year-old female presents 2 hours following a caesarean section.

Observations:

  • Respiratory rate 25/min
  • Heart rate 115 beats/min
  • BP 105/43 mmHg
  • She is agitated
  • Temperature 36.4°C
  • Urine Output 25 ml/hr in last 2 hours

Question: Looking at the EWSS in Table 1, note her observations in bold text on the chart.

Answer: Table 2 shows her early warning score.

Sign

Score

Respiratory rate

2

Heart rate

2

Blood pressure

0

Conscious level

1

Temperature

0

Urine output

2

Total

7

Table 2 EWSS score

This patient was assessed in more detail. She had a post partum haemorrhage of 800 ml.

For treatment, see the e-SAFE e-learning session 08_06 - Recognition and Initial Management of the Critically Ill Obstetric Patient.

A 26-year-old female presents 2 hours following a caesarean section.

Observations:

  • Respiratory rate 25/min
  • Heart rate 115 beats/min
  • BP 105/43 mmHg
  • She is agitated
  • Temperature 36.4°C
  • Urine Output 25 ml/hr in last 2 hours

Question: Looking at the EWSS in Table 1, note her observations in bold text on the chart.

Answer: Table 2 shows her early warning score.

Score

3

2

1

0

1

2

3

RR

<9

9-14

15-20

21-29

30+

HR

<40

41-50

51-100

101-110

111-129

130+

Sys BP

<70

70-79

80-99

100-170

171-199

200+

CNS

Agitated

Alert

Responds to voice

Responds to pain

Unresponsive

Temp

<35

35-37.9

38-38.4

38.5+

Urine

<20 ml/h

<30 ml/h

<40 ml/h

Table 1 EWSS with patient results highlighted