Severity Management
Mild (score 0-1) Can be managed at home –  +/- dexamethasone 0.15mg/kg. Reassure parents and give advice on when to seek further medical attention.
Moderate croup (score 2-7) Do not distress child – +/- oxygen. Give 0.15mg/kg dexamethasone. Transfer for observation for 2-3 hours.
 Severe croup (score >8) Do not distress child – Give oxygen. Give 0.15mg/kg dexamethasone. If not improving give nebulised adrenaline 1:1,000 0.4ml/kg (max 5mls).  Admit to hospital



Emergency Medicine Kenya Foundation

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