Barking in the Night

List two differential diagnoses for acute stridor in children.

 (0.5 marks for each correct answer; maximum 1 mark).

The patient is diagnosed with croup. He has stridor at rest, but does not appear distressed

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

a) What is the severity of this patient’s croup?

b) Name the scoring system used to assess the severity of croup?

(0.5 marks for each correct component; maximum 1 mark)

What immediate treatment should be given to this child in the ED? State dose and route of administration.

(1 mark)