Croup is formally titled acute laryngotracheobronchitis, but that’s a less catchy name.
It’s a viral upper respiratory tract infection that affects the larynx and trachea. It primarily occurs in children under 5 years old.
Croup attacks kids, so the acronym for symptoms must be in the appropriate theme.
- Coryzal prodrome
- Hoarse voice
- Inspiratory stridor
- Like a barking seal cough
- Difficulty breathing
- Single-dose corticosteroids of any of the following:
- Dexamethasone orally
- Prednis(ol)one orally
- Nebulised budesonide
- Single-dose nebulised adrenaline if severe
- Repeat after 30 minutes if no improvement
- Observe for 4 hours after administration
- ICU review if ineffective
- Croup. In: eTG complete [Internet]. Melbourne: Therapeutic Guidelines Limited (eTG November 2017 edition); 2017 Nov.