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Westley Croup Score
Westley Croup Score
Level of Consciousness
Normal (including sleep)
0
Disorientated
5
Cyanosis
None
0
With agitation
4
At rest
5
Stridor
None
0
With agitation
1
At rest
2
Air Entry
Normal
0
Decreased
1
Markedly decreased
2
Chest Wall Retractions
None
0
Mild
1
Moderate
2
Severe
3
Referral Non-Transport Checklist
Only given dexamethasone
Did not vomit steroids within 15 mins
Nil stridor at rest
With a responsible adult
Can follow up with GP (e.g. has transport)
Special Notes
The WCS must be calculated every 15 minutes, and again at triage
Don't do unnecessary things to avoid distressing the pt
There is no definitive treatment, only symptom management
Oxygen isn't routinely recommended but can be given if hypoxic
Steam inhalation has not been shown to be effective
Westley Score
0
Clinical Severity
Mild