1 or more factors returned?
Repeat racemic epinephrine
Consider giving IV formulation PO as it tastes much better
Meets discharge critiera?
Meets discharge criteria?
Reassessment in 1 hour
Discharge with follow up within 24 hours
Meets discharge criteria?
Reassessment in 1 hour
1 or more clinical factors returned?
1 or more clinical factors present immediately after racemic epinephrine?
Discharge with follow up within 24 hours
Reassessment in 1 hour
1 or more factors returned OR > 2 nebs given total?
Stridor at rest AND one other clinical factor:
Consider alternative diagnosis (foreign body, epiglottitis, bacterial tracheitis, etc.)
Consider pediatric or pulmonary consult
Chest and Neck X-rays
Epiglottitis
Discharge criteria
Cool Mist
Spasmodic Croup
Respiratory Viral PCR
Bacterial Tracheitis