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COVID-19 (Coronavirus info)

Information and guidance for public, NHSGGC staff, and community-based services.  Hospital visiting restrictions now in place.

The Deteriorating Patient (Paediatric)


Most children will have a secondary cardiac arrest following an episode of an acute illness and is usually caused by hypoxia. This is rarely a sudden even but follows a progressive deterioration. By recognising early that a patient is sick and/or deteriorating we can intervene, seek expert help and hopefully stop the patient deteriorating further to cardiac arrest. The prognosis following a secondary cardiorespiratory arrest is poor, therefore emphasis should be placed upon early recognition and prevention.

Within NHS GGC a Paediatric Early Warning Score tool (PEWS) is used to help recognise sick and/or deteriorating patients. The patient’s PEWS score, along with the staff member’s assessment of the patient, can help identify patients at risk of clinical deterioration. PEWS charts have been shown to reduce the amount of “crash calls” and PICU admission with staff escalating their concerns early to the appropriate teams.

Essential Learning

Take your time to read through the resources below :-

Paediatric Early Warning Score: PEWS (

PEWS Education Pack (


During induction, all staff new to paediatrics will be allocated a specific date/time for appropriate resuscitation training, provided by the resuscitation training department. It is essential you attend the time given to you.

Staff should ensure these skills are maintained and can book onto future update courses via the eESS system or their line manager:

Login (

All resuscitation training dates can be found via the Resuscitation Staffnet page:

Royal Hospital for Children - resuscitation training dates (


Resuscitation training department: 0141 451 5606 (85606)

Last Updated: 28 September 2021