EMPOWERING PHYSICIANS WITH EVIDENCE-BASED CONTENT
 
Home Browse Topics Points & Pearls Take CME Tests Editorial Boards About Us Store Subscribe/
Renew

Home > Browse Topics

<< An Evidence-Based Approach To The Evaluation And Treatment Of Croup In Children

Summary

Children with acute viral croup commonly present to EDs or primary care providers. The vast majority of patients will present with mild croup without showing any signs of upper airway obstruction. The diagnosis of croup should be made on clinical grounds, but potentially fatal (even if rare) diagnoses such as bacterial tracheitis or epiglottitis should be kept in mind. All children presenting with croup should be treated with oral dexamethasone to reduce the severity of symptoms, rate of revisits, or admissions to the hospital and to lessen patient and parental anxiety and economic burden. Children exhibiting symptoms of upper airway obstruction should be treated with nebulized epinephrine and observed for at least 2 hours after treatment before being discharged home. With knowledge of the basic evidence-based principles of emergency management outlined in this article, the emergency clinician will be able to successfully identify and manage the different levels of severity of croup.

Other Articles Similar To This One:

Related Links:

EMplify, the new Emergency Medicine Practice podcast, is now available

Evidence Based, LLSA Study Guides

 

About EB Medicine:

Products:

Accredited By:

ACCME ACCME
AMA AMA
ACEP ACEP
AAFP AAFP
AOA AOA
AAP AAP

Endorsed By:

AEMAA AEMAA
HONcode HONcode
STM STM

 

Last Modified: 04/26/2017
© EB Medicine