Croup with stridor at rest
Educational use only. Not clinically reviewed3-year-old girl for whole-child severity review, minimal-distress support, serial reassessment, and escalation. About 8 simulated minutes.
What you will practise
- Reconcile the supplied prodrome, bark, hoarseness, stridor at calm rest, work of breathing, mentation, perfusion, and pulse-coherent oxygenation as one upper-airway pattern.
- Review whole-child severity and the supplied guards for dangerous upper-airway and adjacent alternatives.
- Keep the child calm with her caregiver and record experienced pediatric and airway support plus qualified-team corticosteroid and nebulized epinephrine intent.
- After elapsed time, review the fixed early whole-child response without treating improvement as cure or discharge readiness.
- Review the strictly later recurrence of stridor at rest and renew pediatric and airway-capable ownership.
- Hand off the trajectory, time since reported care, recurrence, open mimics, deterioration triggers, monitoring, and named owners.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Canadian Paediatric Society, Acute Care Committee. Acute management of croup in the emergency department. Updated 2026 Mar 6.
- Royal Children’s Hospital Melbourne. Clinical Practice Guidelines: Croup (Laryngotracheobronchitis). Updated 2024 Sep.
- Aregbesola A, et al. Glucocorticoids for croup in children. Cochrane Database Syst Rev. 2023;1:CD001955. doi:10.1002/14651858.CD001955.pub5.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.