Westley Croup Score
Standardised severity score for pediatric croup (laryngotracheobronchitis). Guides steroid, nebulised adrenaline and admission decisions in the emergency department.
Westley Score
0/17
Mild croup
Treatment
Single dose oral dexamethasone 0.6 mg/kg (max 16 mg). Reassure parents, advise warm humidified air, return precautions. Home discharge if stable for 2-4 h.
★ DoctorScribe — Complete Clinic Management
Pediatric ER, made calm
DoctorScribe's pediatric ER module flags croup, asthma, bronchiolitis based on triage symptoms, surfaces the right calculator, and queues the right drug with the child's weight already plugged in.
Clinical Disclaimer: Westley score guides treatment but does not replace clinical judgement. Children with rapidly progressing distress, accessory muscle use, exhaustion, or altered sensorium need immediate intervention regardless of score. Always rule out bacterial tracheitis, epiglottitis (rare in Hib-vaccinated), foreign body. Always verify against your local prescribing reference and apply clinical judgment.
Croup protocols, embedded in your OPD
DoctorScribe auto-calculates Westley score from triage notes, pre-fills dexamethasone order (0.6 mg/kg) with the child's weight, and books a 4-hour observation slot.
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