Westley croup score
Croup severity.
Inputs
CompleteStridor
Retractions
Air entry
Cyanosis
Level of consciousness
Worked calculation
Your values are highlighted.
- Points
When to use
- Children with croup.
Pearls and pitfalls
- All severities benefit from a single dose of dexamethasone (0.15–0.6 mg/kg).
- Moderate to severe: add nebulized epinephrine and observe.
Why use
Common severity language.
| Criterion | Points |
|---|---|
| Stridor: None | 0 |
| With agitation | +1 |
| At rest | +2 |
| Retractions: None | 0 |
| Mild | +1 |
| Moderate | +2 |
| Severe | +3 |
| Air entry: Normal | 0 |
| Decreased | +1 |
| Markedly decreased | +2 |
| Cyanosis: None | 0 |
| With agitation | +4 |
| At rest | +5 |
| Level of consciousness: Normal | 0 |
| Disoriented | +5 |