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Updated: Mar 26, 2026

Measuring Cardiac Autonomic Nervous System ANS Activity in Toddlers - Resting and Developmental Challenges
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Paediatric Early Warning Trigger--A Cry for Help.

T Bolger, N Clarke, S Crowe

    Irish Medical Journal
    |January 29, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Implementing a Paediatric Early Warning Trigger (PEWT) significantly improved the recognition and timely treatment of deteriorating children. This system reduced the time to senior clinician involvement and decreased PICU transfers and cardiac arrest rates.

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    Area of Science:

    • Pediatric critical care medicine
    • Clinical quality improvement

    Background:

    • Rapid recognition and treatment of deteriorating children are vital in pediatric care.
    • Existing methods for identifying at-risk children may have limitations.

    Purpose of the Study:

    • To evaluate the effectiveness of a Paediatric Early Warning Trigger (PEWT) system.
    • To assess the impact of PEWT on the timeliness of senior clinical intervention and patient outcomes.

    Main Methods:

    • Retrospective comparison of clinical data from 12 months before and three years after PEWT implementation.
    • Analysis of time from patient deterioration to senior staff involvement.
    • Examination of crash call rates, PICU transfers, and cardiac arrest rates.

    Main Results:

    • Time to senior clinician involvement decreased from 312 to 166 minutes.
    • PICU transfer rates for triage categories 1 & 2 reduced from 1:50 to between 1:118 and 1:131.
    • Cardiac arrest rates for this group decreased significantly, with rates as low as 1:542.

    Conclusions:

    • The Paediatric Early Warning Trigger (PEWT) system is effective in improving patient outcomes in a pediatric setting.
    • PEWT facilitates timely senior clinician input for critically ill children, enhancing care quality.