AMBER: Nice 'Traffic Lights' Flashcards
What does amber indicate in the NICE ‘Traffic lights’ tool?
Intermediate risk
What 5 assessments is the Amber: NICE ‘Traffic lights’ tool divided into?
Colour Activity Respiratory Circulation and hydration Other
An amber result from the tool when looking at ‘colour’ is what?
Pallor reported by parent/carer
An amber result from the tool when looking at ‘activity’ is what?
Not responding normally to social cues
No smile
Wakes only with prolonged stimulation
Decreased activity
An amber result from the tool when looking at ‘Respiratory’ is what?
Nasal flaring
Tachypnoea
O2 sats <= 95% in air
Crackles in the chest
Tachypnoea?
abnormally rapid breathing.
An amber result from the tool when looking at ‘Circulation and hydration’ is what?
Tachycardia Dry mucous membranes Poor feeding in infants Capillary refill time (CRT) >= 3 seconds Decreased urinary output
What is considered tachypnoea in a child 6-12 months?
RR > 50 breaths/min
What is considered tachypnoea in a child > 12 months?
RR > 40 breaths/min
What is considered tachycardia in a child < 12 months?
> 160 beats/min
What is considered tachycardia in a child 12-24 months?
> 150 beats/min
What is considered tachycardia in a child 2-5 years?
> 140 beats/min
An amber result from the tool when looking at ‘other’ is what?
Age 3-6 months, temperature >= 39 degrees celsius
Fever for >= days
Swelling of a limb or joint
Non-weight bearing limb/not using an extremity
Rigors
Rigor?
a sudden feeling of cold with shivering accompanied by a rise in temperature, often with copious sweating, especially at the onset or height of a fever