A 2-year-old boy presents as triage level 2 with barking cough, inspiratory stridor at rest, and moderate retractions. Oxygen saturation is 95%, and

Question

A 2-year-old boy presents as triage level 2 with barking cough, inspiratory stridor at rest, and moderate retractions. Oxygen saturation is 95%, and he is sitting calmly with his parent. Which of the following is the most appropriate initial action?

Accepted Answer

Nebulized racemic epinephrine and dexamethasone

Answer

Needle cricothyrotomy

Answer

Chest physiotherapy and discharge

Answer

Immediate endotracheal intubation without medication trial

Answer

Inhaled corticosteroid alone

Croup — ABEM Board MCQ

A 2-year-old boy presents as triage level 2 with barking cough, inspiratory stridor at rest, and moderate retractions. Oxygen saturation is 95%, and he is sitting calmly with his parent. Which of the following is the most appropriate initial action?