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Sam Thenabadu

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date: 17 May 2022

This chapter provides a discussion of the challenges facing the emergency physician dealing with a child presenting with stridor and likely croup. It examines the approach to stratifying severity of illness, the differential diagnoses of stridor, as well as an overview of treatment options for acute treatment and discharge advice.

It examines the evidence base for three key clinical questions:the use of steam therapy as a pre-hospital recommendation; consideration of whether steroids are required for all cases including those rated mild croup; and an analysis of whether dexamathesone is superior to nebulised budesonide.

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