A 2-year-old girl is brought to ED with barking cough, inspiratory stridor and hoarse voice. She is agitated with moderate work of breathing but maint...

Question

A 2-year-old girl is brought to ED with barking cough, inspiratory stridor and hoarse voice. She is agitated with moderate work of breathing but maintaining oxygen saturations. According to paediatric croup guidelines, what is the most appropriate initial treatment?

Accepted Answer

Oral or nebulised corticosteroid (e.g. dexamethasone) and nebulised adrenaline if moderate-severe

Answer

Nebulised salbutamol

Answer

Immediate intubation in all cases

Answer

Intravenous antibiotics

Answer

Intravenous magnesium sulphate

au-amc MCQ (SBA): Croup

A 2-year-old girl is brought to ED with barking cough, inspiratory stridor and hoarse voice. She is agitated with moderate work of breathing but maintaining oxygen saturations. According to paediatric croup guidelines, what is the most appropriate initial treatment?