Clinical Case Database / Category: Case Based Discussion

Stridor in children

Publication details

Turan S Huseyin FRCS FCEM, Brijendra P Shravat FRCSEd FCEM, Kilian A Hynes MRCP FCEM
Foundation Years Journal, volume 2, issue 2, p.92 (123Doc Education, London, February 2008)

Abstract

An 11-month-old child was brought to the emergency department at 01:00 hrs. His parents were woken by a loud barking noise and found the child crying in his cot. He was pyrexial (37.8°C), had a respiratory rate of 28 per minute and oxygen saturation of 99% on air. There was mild sub-costal recession and some stridor when agitated. How would you manage this patient?

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Authors

Turan S Huseyin FRCS FCEM

Consultant in Emergency Medicine and Foundation Programme Training Director
Barnet and Chase Farm Hospitals NHS Trust

Brijendra P Shravat FRCSEd FCEM (Corresponding author)

Consultant and Clinical Director in Emergency Medicine
Barnet and Chase Farm Hospitals Trust
Barnet Hospital
Wellhouse Lane
Barnet
EN5 3DJ

Kilian A Hynes MRCP FCEM

Consultant in Emergency Medicine
Barnet and Chase Farm Hospitals Trust

References

1. The Foundation Programme 2007. Section 4 – Syllabus and competences: p. 116.
2. Tan HKK, Holinger LD. How to evaluate and manage stridor in children. J Respir Dis 1994; 15(3): 245–260.
3. Sherrington CA, Crameri JA, Coleman LT et al. Stridor in an infant. Eur Respir J 1999; 14: 717–719.
4. Kristjansson S, Berg-Kelly K, Winso E. Inhalation of racemic adrenaline in the treatment of mild and moderately severe croup. Clinical symptom score and oxygen saturation measurements for evaluation of treatment effects. Acta Paediatr 1994; 83(11): 1156–1160.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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