Barking in the Night

Author: Rachel Furness / Editor: Fiona Mendes / Reviewer: Rachel Furness / Codes: / Published: 18/02/2023

A 2-year-old boy is brought to your Emergency Department (ED) overnight at 02:00 with noisy breathing and a barking cough.

On examination, of note, he has stridor at rest but is not distressed, he has a runny snotty nose and both his ear canals and tympanic membranes appear erythematous but are not bulging. No effusions seen.

Observations at triage:

  • Heart rate 110 beats per minute
  • Respiratory rate 26 breaths per minute
  • Oxygen saturations  96% on room air
  • Capillary refill time <2 seconds
  • Temperature 38 degrees Celsius

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