{"uid":"cap_zfl3DfuALIhGi51BKRISv","slug":"monaghan-2005-brighton-pews-calculator-c59cbda9","name":"Monaghan 2005 Brighton PEWS Calculator","description":"Monaghan 2005 Brighton PEWS: behaviour, cardiovascular, and respiratory 0-3 each, plus +2 each for quarter-hourly nebulisers and persistent post-surgery vomiting (max 13). HR/RR use APLS 2005 age-group rest ranges as the paper's normal rate and mean. Returns score_ge_3. Not NEWS2; not MEWS; not Bedside PEWS.","url":"https://api.magentlab.com/api/calc/pews","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["age_group","behavior","cardiovascular","heart_rate_bpm","respiratory_rate","respiratory_effort","oxygen","quarter_hourly_nebulisers","persistent_vomiting_after_surgery"],"properties":{"oxygen":{"enum":["none","fio2_30_or_4l","fio2_40_or_6l","fio2_50_or_8l"],"type":"string","description":"Caller-assigned Monaghan 2005 oxygen. none → 0; fio2_30_or_4l (30+% FiO2 or 4+ L/min) → 1; fio2_40_or_6l (40+% FiO2 or 6+ L/min) → 2; fio2_50_or_8l (50% FiO2 or 8+ L/min) → 3. The respiratory domain is the higher of RR, effort, and oxygen. magent does not measure FiO2."},"behavior":{"enum":["playing","sleeping","irritable","lethargic"],"type":"string","description":"Caller-assigned Monaghan 2005 behaviour. playing (playing/appropriate) → 0; sleeping → 1; irritable (irritable or parents concerned) → 2; lethargic (lethargic/confused or reduced response to pain) → 3. magent does not observe the child."},"age_group":{"enum":["infant","age_1_2","age_2_5","age_5_12","adolescent"],"type":"string","description":"Caller-assigned APLS 2005 rest-range age group used as Monaghan 2005 'normal rate' (HR) and 'mean'/'normal parameters' (RR). infant (<1 year; HR 110-160, RR 30-40, RR mean 35); age_1_2 (1-2 years; HR 100-150, RR 25-35, mean 30); age_2_5 (2-5 years; HR 95-140, RR 25-30, mean 27); age_5_12 (5-12 years; HR 80-120, RR 20-25, mean 22); adolescent (>12 years; HR 60-100, RR 15-20, mean 17). Monaghan 2005 does not print a numeric vital table. magent does not map chronological age. Not Akre 2010. Not later NHS England PEWS charts."},"cardiovascular":{"enum":["pink","pale","grey","mottled"],"type":"string","description":"Caller-assigned Monaghan 2005 colour or capillary refill. pink (pink or CRT 1-2 s) → 0; pale (pale or CRT 3 s) → 1; grey (grey or CRT 4 s) → 2; mottled (grey and mottled or CRT ≥5 s) → 3. The cardiovascular domain is the higher of this band and the HR band. magent does not measure CRT."},"heart_rate_bpm":{"type":"integer","description":"Heart rate in beats/min (integer 40-300). Monaghan 2005: tachycardia of 20 above the age-group normal rate (APLS 2005 upper rest limit) → 2; tachycardia of 30 above that rate or bradycardia (below the APLS lower rest limit) → 3. The cardiovascular domain is the higher of colour/CRT and HR. magent does not measure heart rate."},"respiratory_rate":{"type":"integer","description":"Respiratory rate in breaths/min (integer 5-120). Monaghan 2005 vs the age-group RR mean (midpoint of the APLS 2005 rest range): >10 above mean → 1; >20 above mean → 2; >30 above mean or 5 below mean → 3. The respiratory domain is the higher of RR, effort, and oxygen. magent does not measure respiratory rate."},"respiratory_effort":{"enum":["none","accessory","recessing","sternal_or_grunting"],"type":"string","description":"Caller-assigned Monaghan 2005 respiratory effort. none (no recession or tracheal tug) → 0; accessory (using accessory muscles) → 1; recessing (recessing, tracheal tug) → 2; sternal_or_grunting (sternal recession, tracheal tug, or grunting) → 3. The respiratory domain is the higher of RR, effort, and oxygen. magent does not examine the chest."},"quarter_hourly_nebulisers":{"type":"boolean","description":"Quarter-hourly (¼ hourly) nebulisers as in Monaghan 2005. true → +2; false → 0. Independent of the respiratory 0-3 domain. magent does not record medication times."},"persistent_vomiting_after_surgery":{"type":"boolean","description":"Persistent vomiting following surgery as in Monaghan 2005. true → +2; false → 0. Independent of the behaviour 0-3 domain. magent does not observe vomiting."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_pDaG5ucNG9DOLAzlGPYvU","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Calculates the Monaghan 2005 Brighton Paediatric Early Warning Score (PEWS) from behaviour, cardiovascular, respiratory, and supplemental parameters, returning score_ge_3.","exampleAgentPrompt":"Calculate the Brighton PEWS score for a 3-year-old (age_2_5) who is irritable, has pale skin, a heart rate of 130 bpm, respiratory rate of 28, mild respiratory effort, no supplemental oxygen, no quarter-hourly nebulisers, and no post-surgery vomiting.","exampleUseCases":[{"title":"Paediatric ward deterioration alert","prompt":"Score this 8-year-old on the Monaghan 2005 PEWS: they're lethargic, mottled skin, heart rate 115, respiratory rate 24, moderate respiratory effort, on FiO2 30% or 4 L/min oxygen, no nebulisers every 15 minutes, no post-op vomiting — do they hit a score of 3 or above?"},{"title":"Post-operative vomiting risk flag","prompt":"Calculate the Brighton PEWS for a toddler aged 1-2 who is sleeping, pink, heart rate 140, respiratory rate 30, mild respiratory effort, no oxygen, no quarter-hourly nebulisers, but has persistent vomiting after surgery — what's the score and is it 3 or higher?"},{"title":"Respiratory distress triage for infant","prompt":"Run the Monaghan 2005 Brighton PEWS on an infant who is irritable, cardiovascularly grey, heart rate 155, respiratory rate 38, severe respiratory effort, on FiO2 50% or 8+ L/min oxygen, receiving quarter-hourly nebulisers, no post-surgical vomiting — is the score at least 3?"}],"resultDescription":"Returns the computed Monaghan 2005 PEWS total (max 13) and a boolean score_ge_3 flag indicating whether the score meets or exceeds the 3-point alert threshold, based on caller-supplied behaviour, cardiovascular, HR, respiratory, oxygen, nebuliser, and post-surgery vomiting inputs mapped to APLS 2005 age-group normal ranges.","failureModes":["Missing required query parameters returns a validation error","Invalid enum value for any categorical field (e.g. behavior, cardiovascular, oxygen, age_group) returns an error","Heart rate or respiratory rate outside plausible numeric range may produce unexpected scoring","age_group mismatch with actual patient age leads to incorrect normal-range comparison — caller is responsible for correct mapping"],"whenToPreferThis":"Use this endpoint when you need to apply the specific Monaghan 2005 Brighton PEWS algorithm (not NEWS2, MEWS, Akre 2010 PEWS, or later NHS England PEWS charts) for paediatric patients, including the +2 bonuses for quarter-hourly nebulisers and persistent post-surgical vomiting, using APLS 2005 age-group HR and RR rest ranges as the reference norms.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T07:06:37.088Z","isFirstParty":false}