A 3-year-old child presents with a barking cough, hoarse voice and inspiratory stridor at rest, but normal oxygen saturations. According to standard p...

Question

A 3-year-old child presents with a barking cough, hoarse voice and inspiratory stridor at rest, but normal oxygen saturations. According to standard paediatric guidelines, what is the most appropriate acute management?

Accepted Answer

Single dose of oral or intramuscular dexamethasone and nebulised adrenaline if significant distress, with observation

Answer

Oral antihistamines and discharge

Answer

Immediate intubation without medical therapy

Answer

No treatment; observe at home

Answer

Start broad-spectrum intravenous antibiotics for presumed bacterial tracheitis

ca-mccqe1 MCQ (SBA): Viral croup

A 3-year-old child presents with a barking cough, hoarse voice and inspiratory stridor at rest, but normal oxygen saturations. According to standard paediatric guidelines, what is the most appropriate acute management?