Professional Documents
Culture Documents
Date of Birth
Hospital Number
Consultant
Ward
WEIGHT
Amber intermediate
risk
Alert
Responding normally to
social cues
Stays awake /
awakens quickly
Content / smiles
Miserable
Not responding normally
to social cues
Decreased activity
Difficulty waking
No response to social
clues
Floppy
No smile
Grumpy
Temperature
Normal
38 in under 3/12
39 in over 3/12
Skin
(CRT on chest)
Pale / mottled
Traffic Light
Category
Behaviour
Activity
Respiratory rate
Normal breathing
(see table below)
SATS in air
Chest recession
Nasal flaring
Grunting
92-94%
Mild moderate
Occasionally present
Absent
<92%
Severe
Constantly present
Present
Pulses/heart rate
Normal no vomiting
Feeding/hydration Normal urine output
Apnoeas
Normal parameters
Infants <1 year
Toddler 1-2 years
Pre-school 3-4 years
School 5-11 years
No apnoea
Heart rate
120-170
80-110
70-110
70-110
Kg
Name
Date of Birth
Hospital Number
Consultant
Ward
Table 1
Symptoms and signs of specific diseases
Diagnosis to be considered
Meningococcal disease
Meningitis1
Pneumonia
Septic arthritis/osteomyelitis
Kawasaki disease3
Weight
Classical signs (neck stiffness, bulging fontanelle, high-pitched cry) are often absent in infants with bacterial
meningitis.
2
Urinary tract infection should be considered in any child <3 months with fever. See Urinary tract infections in
children (NICE clinical guideline, published August 2007)
3
Note: in rare cases, incomplete/atypical Kawasaki disease may be diagnosed with fewer features
Kg