In this section
Acute upper airway obstruction
Inhaled foreign body
Children with croup should have minimal examination so as not to
upset the child further. Throat examination is rarely required.
factors for severe croup include:
* Loudness of stridor is not a good indicator of severity of obstruction. Soft stridor in the presence of worsening clinical picture may be a sign of imminent airway obstruction
** It is not necessary to measure oxygen saturations in children with mild to moderate croup
No investigations are needed in croup, including nasopharyngeal aspirate (NPA), x-rays and blood tests and may cause distress to the child and worsening of symptoms.
*Consider nebulised Budesonide 2mg if oral corticosteroids not tolerated
For emergency advice and paediatric or neonatal ICU transfers, call
the Paediatric Infant Perinatal Emergency Retrieval (PIPER) Service: 1300 137
Stridor free at rest
Parents should be advised to seek medical attention if re-occurrence of stridor at rest despite having received oral steroids.
Last updated May 2019