Table 1 Signs and symptoms of serious illness as defined by NICE CG160 – “Fever in under 5s: assessment and initial” [1]
High Risk Features | Intermediate Risk Features |
|---|---|
Pale/mottled/ashen/blue skin, lips or tongue | Pallor of skin, lips or tongue reported by parent or carer |
No response to social cues | Not responding normally to social cues |
Appearing ill to a healthcare professional | No smile |
Does not wake or if roused does not stay awake | Wakes only with prolonged stimulation |
Weak, high-pitched or continuous cry | Decreased activity |
Grunting | Nasal flaring |
Respiratory rate greater than 60 breaths per minute | Dry mucous membranes |
Moderate or severe chest indrawing | Poor feeding in infants |
Reduced skin turgor | Reduced urine output |
Bulging fontanelle. | Rigors |