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Immediately admit a child who has moderate or severe croup, or impending respiratory failure.
Most children will have mild croup, which can be managed at home. However, consider admission to hospital if any of the following are present. The child:
All patients with croup who have signs of breathing difficulty should receive systemic steroids. Dexamethasone solution 150 micrograms/kg PO is the first line. If this is unavailable, then soluble prednisolone tablets 1-2mg/kg may be used.
See local acute trust guidance for the inpatient assessment and management of croup.