A 3-year-old boy presents with barking cough, hoarse voice and stridor, worse at night. He is febrile but maintains oxygen saturation at 96% on air an...

Question

A 3-year-old boy presents with barking cough, hoarse voice and stridor, worse at night. He is febrile but maintains oxygen saturation at 96% on air and is not drooling. What is the most appropriate initial management?

Accepted Answer

Single dose of oral Dexamethasone and observation

Answer

Immediate intubation and ventilation

Answer

Start nebulised Adrenaline only

Answer

Urgent ENT referral for tonsillectomy

Answer

Start broad-spectrum intravenous antibiotics

uk-plab-1 MCQ (SBA): Croup

A 3-year-old boy presents with barking cough, hoarse voice and stridor, worse at night. He is febrile but maintains oxygen saturation at 96% on air and is not drooling. What is the most appropriate initial management?