A 5-year-old boy presents with a barking cough, inspiratory stridor only when agitated, and mild suprasternal indrawing. His temperature is 38.2°C and...

Question

A 5-year-old boy presents with a barking cough, inspiratory stridor only when agitated, and mild suprasternal indrawing. His temperature is 38.2°C and oxygen saturation 97% on room air. According to best practice for croup in Canada, what is the most appropriate initial treatment?

Accepted Answer

Single dose of oral Dexamethasone and observation

Answer

Nebulised Adrenaline alone

Answer

Start broad-spectrum antibiotics and admit for IV therapy

Answer

No treatment is required; discharge immediately

Answer

Heliox therapy in the emergency department

ca-mccqe1 MCQ (SBA): Viral croup

A 5-year-old boy presents with a barking cough, inspiratory stridor only when agitated, and mild suprasternal indrawing. His temperature is 38.2°C and oxygen saturation 97% on room air. According to best practice for croup in Canada, what is the most appropriate initial treatment?