Assess for amber flags

Pallor reported by parent/carer.

Not responding normally to social cues.

No smile.

Wakes only with prolonged stimulation.

Decreased activity.

Nasal flaring.

Tachypnoea -respiratory rate over 50 breaths/minute, age 6-12 months -respiratory rate over 40 breaths /minute if aged over 12 months.

Oxygen saturation 95% or lower, in air.

Crackles in the chest.

Tachycardia: -over 160 beats/minute if aged under 12 months. -over 150 beats/minute if aged 12-24 months. -over 140 beats/minute if aged 2 - 5 years.

Capillary refill time 3 seconds or longer.

Dry mucous membranes.

Poor feeding in infants.

Reduced urine output.

Temperature 39°C or higher if aged 3-6 months.

Fever for 5 days or more.

Rigors.

Swelling of a limb or joint.

Non-weight bearing limb or not using an extremity.

None of the above.