CRACKCast E168 – Pediatric Respiratory Emergencies: Upper Airway Obstruction and Infections

CRACKCast & Physicians as Humans on CanadiEM

Core questions:

• What is the pathophysiology of inspiratory and expiratory stridor?

• Provide a differential diagnosis for stridor in children (based on location: supraglottic, glottic, subglottic) list at least three in each category.

• What is the typical presentation of a retropharyngeal abscess?

• Describe the management of a RPA. What are the typical pathogens?

• What the typical pathogens in epiglottis? How are these patients managed?

• Differentiate between croup and other conditions mimicking croup.

• Contrast mild, moderate, and severe croup.

• What is the management of croup?

• Which children with croup require admission to hospital?

• Management of upper airway FB: Describe the management of an airway obstruction (progresses from partial obstruction to full obstruction to unconscious) in a 6 month old. In a 6 year old?

Wisecracks:

• Ddx of stridor (8) (review)

• List 5 Xray findings of epiglottitis

• Which infections are associated with croup?

• How do you handle the CICV scenario?