T2 – Croup “red flags”

Thinking about those features that might mean admission is on the cards for a child with croup, have a look at the points below: 

  • Severe intercostal recession

  • Decreased air entry or breath sounds

  • Decreased stridor when previously noted to be severe

  • Cyanosis

  • Pallor or dusky skin colour

  • Significant tiring

  • Decreased consciousness

These are all symptoms that should prompt you to consider an urgent review in secondary care. Fortunately, as we have said above, croup is more often a  minor illness that can be managed at home with appropriate support from primary care.