👶 Westley Croup Score
Grade croup severity in children with the Westley score.
Westley Croup Score
Level of consciousness
Cyanosis
Stridor
Air entry
Retractions
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
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.