A 2-year-old boy presents with a barking cough and inspiratory stridor at rest. He is distressed but alert, with oxygen saturation 95% in air and no d...

Question

A 2-year-old boy presents with a barking cough and inspiratory stridor at rest. He is distressed but alert, with oxygen saturation 95% in air and no drooling. According to RCH croup guidelines, what is the most appropriate initial management?

Accepted Answer

Oral or intramuscular dexamethasone and nebulised adrenaline in a calm environment

Answer

Nebulised salbutamol and chest physiotherapy

Answer

Immediate intubation and ventilation in theatre

Answer

Routine throat examination with tongue depressor to exclude epiglottitis

Answer

Intravenous antibiotics and fluids

au-amc MCQ (SBA): Croup

A 2-year-old boy presents with a barking cough and inspiratory stridor at rest. He is distressed but alert, with oxygen saturation 95% in air and no drooling. According to RCH croup guidelines, what is the most appropriate initial management?