A 3-year-old child with no significant medical history presents with acute stridor, barking cough, and hoarse voice. He is afebrile with mild respirat...

Question

A 3-year-old child with no significant medical history presents with acute stridor, barking cough, and hoarse voice. He is afebrile with mild respiratory distress and oxygen saturation of 96% on room air. Which is the most appropriate initial management?

Accepted Answer

Nebulised racemic adrenaline plus a single dose of oral dexamethasone

Answer

Immediate endotracheal intubation in the emergency department

Answer

High-dose IV antibiotics and fluids

Answer

Heimlich manoeuvre for presumed foreign body

Answer

No treatment is necessary; discharge home

ca-mccqe1 MCQ (SBA): Croup - initial management

A 3-year-old child with no significant medical history presents with acute stridor, barking cough, and hoarse voice. He is afebrile with mild respiratory distress and oxygen saturation of 96% on room air. Which is the most appropriate initial management?