mrcem2-1445
An 8-year-old boy is brought to the emergency department by concerned parents. The parents inform you that the patient has had a fever with temperatures ranging between 37.5 and 38.1ºC and a runny nose for a few days before developing a barking cough. During examination, you observe stridor at rest and moderate sternal recession (retractions). The child appears lethargic and does not consistently respond to verbal stimuli. Oxygen saturation levels are 94% on air, and there is marked bilateral decreased air entry upon auscultation of the chest. The child’s mother inquires if this could be croup.
Your consultant requests you to calculate the Westley score for this child. What is the correct score?