Westley Croup Score
Assesses croup (laryngotracheobronchitis) severity in children. Guides dexamethasone dose, nebulised adrenaline, and hospital admission decisions.
Score interpretation
→ Single dose oral dexamethasone 0.15mg/kg; discharge home; parent education on worsening signs; cool humidified air
→ Oral/IM dexamethasone 0.15-0.3mg/kg; consider nebulised adrenaline 0.5ml/kg (1:1000, max 5ml); observe minimum 2h post-adrenaline; may admit
→ Nebulised adrenaline; IV dexamethasone; high-flow O2; PICU alert; anaesthetics/ENT review (surgical airway risk); heliox if available; avoid distressing child
Interpretation bands for the Westley Croup Score. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Dexamethasone (Paediatric) · Corticosteroid — Croup / Bacterial Meningitis / Post-Extubation Stridor / Cerebral Oedema
- Dexamethasone · Corticosteroid — ENT Inflammation / Croup
- Dexamethasone (ICU / ARDS) · Systemic Corticosteroid
- Doxapram hydrochloride · Respiratory stimulant
- Dexamethasone · Potent Systemic Corticosteroid
- Acetic Acid 2% (Ear Drops) · Topical antibacterial / Antifungal (ear)
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.