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Traffic Light System for Identifying Risk of Serious Illness ( NICE 2013 )

The traffic light system provides a clear and structured approach to assess the risk of serious illness in children, ensuring timely and appropriate intervention. The classification into green, amber, and red categories helps healthcare professionals to make rapid and accurate decisions based on observable clinical signs and symptoms.


  • Green – Low Risk: Children presenting with signs and symptoms in this category are generally considered to have a low risk of serious illness. They exhibit normal behavior, coloration, and hydration levels, indicating stability and minimal need for urgent intervention.


  • Amber – Intermediate Risk: Children in this category may exhibit signs that are concerning but not definitive for serious illness. Symptoms like pallor, decreased activity, and mild respiratory distress warrant closer monitoring and possibly more detailed examination to rule out worsening conditions.


  • Red – High Risk: This category includes children with the most alarming signs, such as significant changes in color (e.g., blue or ashen), severe respiratory distress, and abnormal neurological signs. These symptoms indicate a high likelihood of serious illness requiring immediate medical attention to prevent severe outcomes.

This structured system aids in differentiating between children who need immediate care and those who can be managed with less...

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