NREMT Paramedic Practice

What is a common treatment approach for croup?

1. Antibiotics

2. Corticosteroids

3. Racemic epinephrine and humidified oxygen

4. Inhaled bronchodilators

The correct answer is: Racemic epinephrine and humidified oxygen

Croup, which is often caused by viral infections, typically presents with a distinctive bark-like cough, stridor, and respiratory distress. The common treatment approach focuses on reducing airway inflammation and improving breathing. The administration of racemic epinephrine is particularly effective in cases where significant upper airway swelling is present. It acts as a bronchodilator, providing immediate relief from stridor and improving airflow. Alongside this, humidified oxygen can help soothe the irritated airways and provide comfort to the patient. Corticosteroids are also widely utilized in managing croup due to their anti-inflammatory properties, but racemic epinephrine coupled with humidified oxygen addresses acute symptoms more rapidly. This combination is especially critical in severe cases where stridor is present at rest. Understanding the roles of various treatments reveals that immediate airway management is essential in effectively treating croup and alleviating distress in affected patients.