Croup Medical Directive

Question 1

Croup Medical Directive

Answer 1

A Primary Care Paramedic may provide the treatment prescribed in this Medical Directive if authorized.

Question 2

Indications

Answer 2

Severe respiratory distress;
AND
Stridor at rest;
AND
Current history of URTI;
AND
Barking cough or recent history of a barking cough.

Question 3

Conditions - Epinephrine

Answer 3

Age: <8 years
LOA: N/A
HR: <200bpm
RR: N/A
SBP: N/A
Other: N/A

Question 4

Contraindications - Epinephrine

Answer 4

Allergy or sensitivity to epinephrine

Question 5

Treatment

Answer 5

Consider epinephrine

Question 6

Consider epinephrine

Answer 6

Age <1 year
Weight <5 kg
Route: NEB
Concentration: 1 mg/1mL = 1:1,000
Dose: 0.5 mg
Max. single dose: 0.5 mg
Dosing interval: N/A
Max. # of doses: 1

Age <1 year
Weight ≥5 kg
Route: NEB
Concentration: 1 mg/mL = 1:1,000
Dose: 2.5 mg
Max. single dose: 2.5 mg
Dosing interval: N/A
Max. # of doses: 1

Age ≥1 year to <8 years
Weight: N/A
Route: NEB
Concentration: 1 mg/mL = 1:1,000
Dose: 5 mg
Max. single dose: 5 mg
Dosing interval: N/A
Max. # of doses 1

Question 7

Clinical Considerations

Answer 7

The minimum initial volume for nebulization is 2.5 ml.