Croup Clinical Pathway — Emergency Department and Inpatient
Croup Clinical Pathway — Emergency Department and Inpatient
Features Suggestive of Alternative Diagnoses
- Age < 6 mos or > 6 yrs
- Toxic appearance or altered mental status
- Poor response to treatment
- Duration of stridor > 4 days or cough > 10 days
- Intubation in past 6 mos
- Prolonged intubation
- Recurrent croup
- Second episode of croup within 30 days
- > 3 episodes in the past 12 mos
- Drooling, difficulty swallowing
- Asymmetry of respiratory exam
- Absence of upper respiratory prodrome
Alternative Diagnoses
- Aspirated foreign body
- Bacterial tracheitis
- Subglottic stenosis
- Epiglottitis
- Laryngomalacia
- Anaphylaxis