Appendix 8

Paediatric respiratory distress severity assessment

MildSevere
InfantsTemperature <38.5°CTemperature >38.5°C
Respiratory rate <50 breaths/minRespiratory rate >70 breaths/min
Mild recessionModerate to severe recession
Taking full feedsNasal flaring
Cyanosis
Intermittent apnoea
Grunting respiration
Not feeding
Older childrenTemperature <38.5°CTemperature >38.5°C
Respiratory rate <50 breaths/minRespiratory rate >50 breaths/min
Mild breathlessnessSevere difficulty in breathing
No vomitingNasal flaring
Cyanosis
Grunting respiration
Signs of dehydration