👶 Westley Croup Score
UseStandardise croup assessment and guide treatment intensity.
SourceWestley CR, et al. Am J Dis Child 1978
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Most children have mild croup (dexamethasone).
When to use
Standardise croup assessment and guide treatment intensity.
How it works
Level of consciousness, cyanosis, stridor, air entry and retractions, summed 0–17. ≤ 2 mild, 3–7 moderate, ≥ 8 severe.
Key points
- Most children have mild croup (dexamethasone).
- Nebulised adrenaline for moderate–severe disease.
- Observe for rebound after adrenaline.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Level of consciousness | Normal (0) |
|---|---|
| Cyanosis | With agitation (4) |
| Stridor | With agitation (1) |
| Air entry | Decreased (1) |
| Retractions | Mild (1) |
→Westley7/17
- Severity：Moderate
- Management：Dexamethasone + consider nebulised adrenaline; observe.
| Level of consciousness | Normal (0) |
|---|---|
| Cyanosis | None (0) |
| Stridor | None (0) |
| Air entry | Normal (0) |
| Retractions | None (0) |
→Westley0/17
- Severity：Mild
- Management：Usually a single dose of dexamethasone.
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Westley Croup Score?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Westley Croup Score upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Westley Croup Score calculated in practice? Can you show a worked example?
- Inputs: Level of consciousness Normal (0), Cyanosis With agitation (4), Stridor With agitation (1), Air entry Decreased (1), Retractions Mild (1) → Result: Westley 7 /17（Severity: Moderate, Management: Dexamethasone + consider nebulised adrenaline; observe.） Inputs: Level of consciousness Normal (0), Cyanosis None (0), Stridor None (0), Air entry Normal (0), Retractions None (0) → Result: Westley 0 /17（Severity: Mild, Management: Usually a single dose of dexamethasone.）