Children with croup can be triaged rapidly and easily by a simple scoring system.
(1) inspiratory breath sounds
(4) retractions and nasal flaring
inspiratory breath sounds
harsh, with rhonchi
inspiratory and expiratory
retractions and nasal flaring
nasal flaring and suprasternal retractions
nasal flaring; suprasternal, subcostal, and intercostal retractions
present in room air (FIO2 0.21)
present in 40% oxygen (FIO2 0.40)
Modified Score (Waisman, 1992)
This is the same as above, except assessment of cyanosis is replaced by oxygen saturation.
>= 95% on room air
< 95% in room air (FIO2 0.21) but >=95% in 40% oxygen (FIO2 0.40)
<95% in 40% oxygen (FIO2 0.40)
• maximum score 10
• minimum score 0
• scores of 0-3: minimal risk
• scores of 4-6: moderate risk; child may benefit from inhalation treatment
• scores 7-10: high risk; intubation may be necessary and a tracheostomy tray should be readily available if not intubated
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Specialty: Pulmonology, Pedatrics, Infectious Diseases