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Urgent care or emergency department treatment of croup depends on the degree of respiratory distress. In mild croup, a child may present with only a croupy cough and may require nothing more than parental reassurance, given alertness, baseline minimal respiratory distress, proper oxygenation, and stable fluid status.rgent care or emergency department treatment of croup depends on the degree of respiratory distress. In mild croup, a child may present with only a croupy cough and may require nothing more than parental reassurance, given alertness, baseline minimal respiratory distress, proper oxygenation, and stable fluid status.
In this double-blind trial conducted at four pediatric emergency departments, 720 children with mild croup, based on a score of two or less on the croup scoring system of Westley and colleagues, were randomized to receive one oral dose of either dexamethasone (0.60 mg/kg body weight) or placebo.