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now Ive been using the national early warning score as a trap and trigger system in hospital practice for some years now so I thought it would come back and give you an update of how its working out for us practically so patient label has drawn Campbell today that were thinking about normally this would be a sticky label with the patients name address date of birth and a chest number on it and its the 20th of the ninth day and its 1300 now we always want to use the 24-hour clock system so we dont get confused between AMS and PMS and first of all the parameter here is respire Ettore right now anything thats white doesnt score anything thats colored does score so between 12 and 20 breaths per minute which of course we need to always have our little watch around with us for these are dirt cheap these days I compared our 99p for them theyre very handy to have them in your pocket and just to wear a take this pirate race now between 12 and 20 we see is not scoring but if its 21