Jun 6, 2021
Written By: Chris Cochrane
Expert Review By: Dr. Nabeela Waja (Paediatrician)
https://thegenerehlist.ca/2021/06/06/ccfp-key-topic-croup/
Objective 1: In patients with croup, Identify the need for respiratory assistance (e.g., assess ABCs, fatigue, somnolence, paradoxical breathing, in drawing) and provide that assistance when indicated.
Objective 2:
Before attributing stridor to croup, consider other possible causes
(e.g., anaphylaxis, foreign body (airway or esophagus),
retropharyngeal abscess, epiglottitis).
Objective 3:
In any patient presenting with respiratory symptoms, look
specifically for the signs and symptoms that differentiate upper
from lower respiratory disease (e.g., stridor vs. wheeze vs.
whoop).
Objective 4:
In a child presenting with a clear history and physical examination
compatible with mild to moderate croup, make the clinical diagnosis
without further testing (e.g., do not routinely
X-ray).
Objective 5:
In patients with a diagnosis of croup, use steroids (do not under
treat mild-to-moderate cases of croup).
Objective 6:
In a patient presenting with croup, address parental concerns
(e.g., not minimizing the symptoms and their impact on the
parents), acknowledging fluctuating course of the disease,
providing a plan anticipating recurrence of the
symptoms.