12^thAsia Pacific Pediatrics Congress

Hospital care is contributed as centre of therapy that able to identified early clinical deterioration to achieve optimal management. Children frequently have warning signs of clinical decline hours before their actual cardiopulmonay arrest. Based on this concept, many children’s hospital developed Pediatric Early Warning Score (PEWS) to identify patient at risk of clinical decline. Initial PEWS was introduced by Monaghan in 2005 and known as Brighton PEWS, some instrument that simple and flexible. This instrument was composed by 3 major components include neurobehaviour, cardiovascular, and respiratory. Several hospitals use modified PEWS with escalation algorithm to aid in early  recognition of clinical deterioration and timely transfer to the pediatric intensive care unit (PICU). Modified PEWS based on Hospital demand is necessary to reduce mortality and morbidity patient in ward. Meanwhile, the primciple of PEWS in Pediatric Assesment Triangle (PAT) is useful to identify patient at risk of clinical decline in Emergency Unit.