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