A 3-year-old boy presents with a barking cough and inspiratory stridor at rest. He is agitated but alert, with oxygen saturation 95% on room air. Ther...

Question

A 3-year-old boy presents with a barking cough and inspiratory stridor at rest. He is agitated but alert, with oxygen saturation 95% on room air. There is no drooling and he is fully vaccinated. According to Australian paediatric guidance, what is the most appropriate initial treatment?

Accepted Answer

Single dose of oral dexamethasone and nebulised adrenaline

Answer

Humidified oxygen alone

Answer

Commence intravenous ceftriaxone for presumed bacterial tracheitis

Answer

Immediate intubation in theatre

Answer

No treatment required; discharge home

au-amc MCQ (SBA): Croup

A 3-year-old boy presents with a barking cough and inspiratory stridor at rest. He is agitated but alert, with oxygen saturation 95% on room air. There is no drooling and he is fully vaccinated. According to Australian paediatric guidance, what is the most appropriate initial treatment?