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Moderate to severe croup — RCPSC EM MCQ

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EasyPaediatric emergenciesModerate to severe croupRCPSC EM

A 2-year-old has a barking cough, stridor at rest, moderate chest wall indrawing, and oxygen saturation 94%. He is alert and drooling is absent. What is the most appropriate initial management?

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Correct answer: B — Nebulised epinephrine plus dexamethasone and observation

Moderate to severe croup with stridor at rest should be treated with dexamethasone and nebulised epinephrine, followed by observation for recurrence.

Reference: Canadian Paediatric Society croup guidance