Bronchiolitis Severity Grader

Patient Label (for handover/export)

Name

DOB

NHS number

Assessment Inputs

Age (weeks)

SpO2 (%)

SpO2 measured on

Respiratory rate (breaths/min)

Irregular breathing / exhaustion (treat as life-threatening)

Work of breathing

Feeding

Apnoea

None Reported by carer Witnessed Frequent

PEWS (0-20)

PEWS is escalation support only; it does not directly set the base severity band.

Risk Factors

Prematurity (<37 weeks corrected) Congenital heart disease Chronic lung disease / BPD Immunodeficiency Neuromuscular disease

Severity Output

Mild

Safe for discharge with safety-net advice

Worst-feature logic active.

NICE vs local threshold note: Healthy Together acute pathway uses O2 sats in air bands of >=92% (green), 90-91% (amber), <90% (red). Some trusts use SpO2 <94% as an admission threshold. Always check local policy.

Management Checklist

Serial Assessment Log

No assessments logged yet.

Handover Output