Westley Croup Score
Westley croup severity score (Westley 1978): level of consciousness (0/5), cyanosis (0/4/5), stridor (0/1/2), air entry (0/1/2), retractions (0/1/2/3).
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Level of consciousness
- 0
- Cyanosis
- 0
- Stridor
- 2
- Air entry
- 1
- Retractions
- 2
Result: Westley 5 of 17: moderate croup per Westley 1978 (3-7 band).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- <3
- Mild croup per Westley 1978.
- 3-7
- Moderate croup per Westley 1978.
- 8-11
- Severe croup per Westley 1978.
- >=12
- Impending respiratory failure per Westley 1978.
What you enter
- Level of consciousness (0 normal / 5 disoriented)
- Cyanosis (0 none / 4 with agitation / 5 at rest)
- Stridor (0 none / 1 with agitation / 2 at rest)
- Air entry (0 normal / 1 decreased / 2 markedly decreased)
- Retractions (0 none / 1 mild / 2 moderate / 3 severe)
How this is calculated
Westley CR, Cotton EK, Brooks JG. Nebulized racemic epinephrine by IPPB for the treatment of croup: a double-blind study. Am J Dis Child. 1978;132(5):484-487. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.