A 3-year-old boy presents with a barking cough, hoarse voice, and inspiratory stridor at rest. He is agitated but maintaining oxygen saturations of 95...

Question

A 3-year-old boy presents with a barking cough, hoarse voice, and inspiratory stridor at rest. He is agitated but maintaining oxygen saturations of 95% on room air. According to Canadian Paediatric Society croup guidance, what is the most appropriate immediate management in the emergency department?

Accepted Answer

Oral dexamethasone and nebulised adrenaline, with observation for response

Answer

Oral antibiotics and discharge home

Answer

Oral salbutamol and chest physiotherapy

Answer

Immediate intubation and mechanical ventilation

Answer

Heliox therapy alone without steroids

ca-mccqe1 MCQ (SBA): Viral croup