- Which obs are scoring?
- What was it before — how quickly has it changed?
- What is the resus status / ceiling of care?
Do now
- See them now: A–E, treat as you go
- Sepsis screen
- Bedside tests: glucose, gas, ECG, bladder scan
- Escalate with SBAR
- Set a time to reassess
Key doses
- Depends on the cause — see the linked topics
Typical adult doses — always check the BNF and your local guideline.
Call your senior if
- NEWS2 ≥ 7 — emergency: registrar / outreach now
- NEWS2 5–6 or a single 3 — urgent review
- Not improving after your first interventions
Think of
- Sepsis
- Bleeding
- PE
- Cardiac event
- Respiratory failure
Go deeper
The full walkthroughs behind this call.