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Croup with moderate respiratory distress — RCPSC EM MCQ

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EasyPaediatric emergenciesCroup with moderate respiratory distressRCPSC EM

CTAS 3: A 3-year-old has barking cough and inspiratory stridor after two days of rhinorrhoea. Vitals are T 38.0°C, HR 132, RR 32, SpO2 96%. Stridor is present at rest with mild indrawing. The child is alert and drinking. What is the most appropriate initial management?

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Correct answer: C — Dexamethasone and nebulised epinephrine with observation

Croup with stridor at rest warrants corticosteroid plus nebulised epinephrine and observation for recurrence before disposition.

Reference: Canadian Paediatric Society croup guidance; PALS