Westley + PRAM

Westley Croup and PRAM Asthma Severity Calculator

Assess respiratory distress in children using two validated scoring systems: Westley croup score and PRAM asthma severity measure.

Westley Croup Score

5-item assessment for laryngotracheitis/croup severity (0–17 points)

Score: -

PRAM (Asthma Severity)

5-item assessment for acute asthma severity in children 2–17 years (0–12 points)

Score: -
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Frequently Asked Questions About Croup and Asthma Severity Scores

The Westley score is a 5-item assessment (0–17 points) that measures croup severity based on inspiratory stridor, retractions, air entry, cyanosis, and level of consciousness.

Reference: Westley CR, Cotton EK, Brooks JG. Am J Dis Child. 1978;132(5):484-487.

PRAM (Preschool Respiratory Assessment Measure) is a 5-item validated assessment (0–12 points) for acute asthma severity in children aged 2–17 years. Items are suprasternal retractions, scalene retractions, air entry, wheezing, and oxygen saturation.

Reference: Chalut DS, Ducharme FM, Davis GM. J Pediatr. 2000;137(6):762-768.

Westley score bands:

  • ≤2: Mild. Continue observation
  • 3–7: Moderate. Monitor closely
  • 8–11: Severe. Consider intervention
  • ≥12: Impending respiratory failure. Immediate intervention required

Interpret alongside work of breathing, response to therapy, and the child’s trajectory. Every item must be scored. A partially completed form cannot be interpreted.