Traffic Light System

Question 1

Green Features: (low risk)

Answer 1

Colour: normal
Activity: responds to social cues, smiles, awake/easy woken, strong cry if any
Resp:
C+H: normal skin and eyes, moist MM
Other: no amber/red sx

Question 2

Features of traffic light system

Answer 2

Colours
activity
resp
circulation and hydration
Other

Question 3

Amber Features (intermediate risk)

Answer 3

C: Pallor
A: not responding to social cues, no smile, harder to wake, decreased activity
R: flaring RR>50 (6-12m) >40 (>12m), <95% sats in air, crackles
C+H: BPM >160(<12m), >150 (12-24m), >140 (2-5y), CRT>3s, Dry MM, poor feeding, reduced urine
Other: 3-6m temp>39, fever >5d, Rigor, limb/joint swelling, non-weight bearing/not using an extremity

Question 4

Red Features (High Risk)

Answer 4

Colour: C:Pale/mottldes/ashen/blue
A: No response, appears ill to HCP, does not wake/wakes briefly, weak/highpitched/continuous cry
R: grunting, RR>60, chest indrawing
C+H: reduced skin turgor
Other: <3m temp 38, non blanching rash, bulging fontanelle, neck stiffness, status epilepticus, FNS/seizures

Question 5

Green how to manage

Answer 5

Home, advice and safety net

Question 6

Amber

Answer 6

Safety net or refer to specialist

Question 7

Red

Answer 7

Urgently to paeds specialst