Inspiratory stridor at rest - severe croup

Ben gets croup yet again, soon after this video he had a coughing fit resulting in an ambulance ride as he went a bit too blue for my liking! Thank goodness the steriods started having effect before we made it to hospital where he spent the afternoon.

I have added another audio video for sound of another episode of croup last week. So far this year 8 episodes in 6 months, 7 episodes required oral pred or dex, 1 adrenaline neb (we left that one way too late to give steriods, oops).

With any bout of croup or cough we give him his reflux drugs (losec) & now have nebulised pulmicort respules at home to avoid yet another visit to emergency department and more oral steriods. Fingers crossed less ambulance rides and emergency visits now we have everything but adrenaline at home for DIY management (parents are both medics).

Category:

Education

Tags:

• Severe
• croup

[pixie1310]

Did u take him to get the steroids in the mask

[bindycohen]

@pixie1310 He had already had some oral steriods & I held off on nebulised adrenaline this time as steriods eventually kicked (although i was very stressed when i woke him as it got worse). The ambulance crew wanted to give nebulised adrenaline but we held of due to our past experience with Ben & also we are both medical (Paediatrician & Nurse) so took the risk to not give it.

[kiarliah]

Thank you for video, how old is your little man now. I have just up loaded a video of our 8 year old daughter. Maybe she also needs to go back on gerd meds. Her scope 18 months ago was clear, but specialist said she produced excess stomach acid. Also she had a floppy larynx as baby. She turned blue on us once ended up in Ed with bronchial pneumonia at 8 months of age. I kept getting told she would out grow reflux... We took her off meds at age 7. But still gets croup now at 8 yrs. Does your l

[bindycohen]

@kiarliah Ben is now 4 1/2 & still gets croup & constant chest issues but we have nebuliser at home which we give him a neb of budesonide when cough starts even if no stridor present. So far it has prevented many doses of oral steriods & we've had no trips to emergency for 2 months. If he has a cough we start his GERD/reflux meds again just for the period of illness which works a treat so far. I dont think anyone grows out of reflux but distance b/w stomach/throat grows & hence less lung issues

[bindycohen]

No I dont think we did. But all seems okay at moment and his brother is now the croupy one with same issues.

[Sam78910000]

Yet another student that benefited from this video, thank you. Did the hospital check for an upper airway mass because it sounds like he has an expiratory stridor as well. 

[bindycohen]

@Sam78910000

Thanks for comment. After 3 yrs of croup 7-10 times/yr we finally got him a scope & now on somac for GORD (reflux) which may be the cause as he is aspirating gastric contents at night, never slept through night prior to new drugs, always the kid with the chest issues. Anyway scope showed lots of cobblestoning in trach/bronch & inflammed areas, as well as floppy value in oesphagus, hence the refluxing up and constant inflammation, infections and croup.

Good luck with studies

[mobenah]

MY son almost died from croup, had a resp arrest thank God he is grown now. why isn't this child hospitalized.

[lovins88]

My daughter was just hospitalized for this. She is only 13 months old. Thankfully she is all better now!

[lissabauer]

Thanks for the video. It is really helpful for me as a medical student!

[CityslickCaptain]

Thank you so much for this. My nine month old son, also named Ben, has croup. So far it's just that, but once again I thank you for helping me know what to look for. He's sleeping now and his breathing is good. It's worse when he's crying and he has a little wheezing. It's the third day now.

[dasheekee]

Best thing you could have ever done was take him to the ER

[wendyandstacey]

Thank you, my daughter had a cold and I wanted to make sure it wasnt croup. this helped! God bless your little one!

[Disturbedaholic]

Poor kiddo

[DaLoneFreeMarshmallo]

Thank you! Really benefit from vids like these as a student paramedic (: