Croup Archives - Emergency Medicine Kenya Foundation

Croup

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

Try to KEEP THE CHILD CALM.
Provide 5ml nebulized epinephrine (1:1000 concentration) and
Steroids (PO is the way to go. However, in severe croup, use IM, or IV if available)