Table 2

‘Red traffic light’ symptoms (alarming signs) from the NICE guideline on fever and high-risk criteria from the NICE sepsis guideline

Fever <5*Sepsis <5†Sepsis 5–11†Sepsis >12†
Behaviour
 No response to social cues‡++
 Altered behaviour‡++
 Ill appearance+++
 Does not wake/does not stay awake+++
 Weak, high-pitched or continuous cry§++
Respiratory
 Grunting++
 Apnoea+
 Oxygen saturation <90%++
 Oxygen saturation <93%+
 Tachypnoea for age++++
 Chest retractions+
Circulation
 Bradycardia <60++
 Tachycardia for age+++
 Reduced skin turgor+
 Did not pass urine in the previous 18 hours+
 Systolic blood pressure 90 mm Hg+
Skin
 Mottled, ashen or cyanosis++++
 Non-blanching rash++++
Temperature
 <36.0°C+
 ≥38.0°C in infants <3 months++
Neurological
 Bulging fontanelle or neck stiffness+
 Status epilepticus+
 Focal neurological signs+
 Focal seizures+
  • Embedded Image-data available; Embedded Image-available (proxy used); Embedded Image-not available.

  • *NICE fever guideline.

  • †NICE sepsis guideline.

  • ‡Defined as reduced consciousness.

  • §Defined as ill appearance.

  • NICE, National Institute for Health and Care Excellence.