RED: Nice 'Traffic Lights'

Question 1

What does red indicate in the NICE ‘Traffic lights’ tool?

Answer 1

High/serious risk

Question 2

What 5 assessments is the red: NICE ‘Traffic lights’ tool divided into?

Answer 2

Colour
Activity 
Respiratory 
Circulation and hydration 
Other

Question 3

A red result from the tool when looking at ‘colour’ is what?

Answer 3

Pale/mottled/ashen/blue

Question 4

A red result from the tool when looking at ‘activity’ is what?

Answer 4

No response to social clues
Appears ill to a healthcare professional
Does not wake, or if roused, does not stay awake
Weak/high pitched/continuous cry

Question 5

A red result from the tool when looking at ‘Respiratory’ is what?

Answer 5

Grunting
Tachypnoea: RR>60 breaths/min
Moderate or severe chest indrawing

Question 6

A red result from the tool when looking at ‘Circulation and hydration’ is what?

Answer 6

Reduced skin turgor

Question 7

A red result from the tool when looking at ‘other’ is what?

Answer 7

Age <3 months, temp >=38 degrees celsius (some vaccinations have been found to induce fever in children aged under 3 months)
Non-blanching rash
Bulging fontanelle 
Neck stiffness
Status epilepticus
Focal seizures
Focal neurological signs

Question 8

What is chest indrawing?

Answer 8

Inward movement of the lower chest wall when the child breathes in
A sign of respiratory distress

Question 9

Status epilepticus?

Answer 9

Status epilepticus (SE) is a single seizure lasting more than five minutes or two or more seizures within a five-minute period without the person returning to normal between them