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 |