NICE Traffic Light System

Question 1

RED - High risk

Answer 1

• Pale/Mottled/ashen blue
• Unable to rouse
• Continuous high-pitch crying
• RR >60
• Temp > 38 for < 3months old
• Non-blanching rash
• Neck stiffness
• Grunting
• Chest withdrawing
• Bulging fontanelle
• Reduced skin turgor