Friday, August 20, 2010

Paucis Verbis card: Croup



The most common cause of stridor in pediatric patients is croup, or laryngotracheobronchitis. The distinct high-pitched, seal-like,"barky" cough can be heard from outside the patient's room often.

Check out the clip above that I randomly found on YouTube. Go to the 1:15 mark (near the end) to hear the barking cough. Poor but cute kid.

What is the current treatment regimen? Did you know that the traditional treatment with cool mist or humidified air have shown to be of no added benefit?



Feel free to download this card and print on a 4'' x 6'' index card.

4 comments:

  1. Very good training tool with the video and the scoring and treatment card

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  2. Thanks! I used it a lot this winter season on the pediatric side of the ED.

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  3. Hello Dr. Lin! Can you double check the dosage for racemic epi? is it the 2.25% solution 0.05ml/kg max 0.5ml diluted in 3ml?

    Thanks!

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  4. @Anonymous: Kudos to you. You just caught a typo in the Everard article in Pediatrics Clinics of NA, which quoted 0.5 cc/kg. I double checked with both Epocrates and Emedicine to make sure that we're on the same page. You are totally correct.

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