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Croup: A Barky Cough

Mike Weinstock, MD and Mizuho Morrison, DO
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27:15
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No me gusta!

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Mike and Miz discuss a case of croup in a three year old that prompts a good review of croup management, with potential pitfalls of management and treatment along the way.

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stacie o., 9692404 -

In our ED we mix the IV dexamethosone with a dose of ibuprofen or APAP to help hid the taste and seems to be well tolerated.

stacie o., 9692404 -

Has there been any good studies with the use of nebulized budesonide for croup I have had recommendation from a peds hospitalist to use in refractory croup, instead of IM dexamethosone.

Ian L., Dr -

You can use Nebulised adrenalin in acute severe asthma I believe -so listening to whether strider is inspiratory or expiratory is not essential if a Emergency Provider feels the patient is getting stressed .Coupe MO e t al European J Respiratory Dis 1987 Oct 227-32 .RodrigoGJ Nannini LJ Am J Emergency Medicine March 217-22.

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The Barky Cough Conundrum Full episode audio for MD edition 179:45 min - 84 MB - M4Ahippo Urgent Care RAP - February 2017 Summary 277 KB - PDF

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