Croup by Stewart Harsant and Taylor Fischer, PA-Cs

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6 • 665 Ratings

🗓️ 13 February 2017

⏱️ 13 minutes

🔗️ Recording | iTunes | RSS

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Summary

Today's episode is on Croup- just in time for the middle of the croup season. Your ED may even be filled with kids with a barking cough as we speak. Today's episode was written by Taylor Fischer and Stewart Harsant, two physician assistants who have done an excellent job of summarizing this common pediatric disease process. This episode will review the diagnosis of croup, how to risk stratify kids with croup, and how to treat and disposition them properly. Most of the time, kids with croup do just fine with a little cold night air and some steroids but this episode will also help you figure out which kids are sicker and need much more attention and care.

Transcript

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0:00.0	Hi everyone. This is Steve Carroll, and this is the Ambasid podcast.
0:05.6	Today we're going to be talking about Krupp, since it's right around that time of year.
0:09.7	This episode was written and recorded by Taylor Fisher and Stuart Harsant,
0:13.8	two physician assistants who have provided an excellent summary of something we see a lot in the ED.
0:18.9	This episode will review how to recognize Krupp and its severity,
0:22.3	how to treat it, and how to disposition the patient. I'll be back in at the end with a few
0:26.7	summary points, but for now, here's Taylor Fisher and Stuart Harsant on Krupp in the ED.
0:32.2	Hi, welcome to this special edition of EM Basic, the very first episode composed by Physician Assistance,
0:38.7	your friendly ED Extenders. My name is Taylor Fisher. I graduated from Methodist University
0:43.9	of Physician Assistant Program in 2009, and am currently on faculty at Winkett University School of
0:49.6	Physician Assistance Studies. And I am Stuart Harsant. I am the Robin to Taylor's Batman. I graduated from
0:56.7	Methodist University Physician Assistant Program as well, but in 2014. I've been practicing
1:03.1	urgent care medicine in Asheville, North Carolina for two years. Today, we will be talking about
1:08.3	Kroop. But first, we need to give a disclaimer. Our views and
1:12.0	opinions express do not represent Methodist University, Wingate University, FastMed
1:18.2	Urgent Care, or Mission Health Systems. All right, so let's get started. Croup can be defined
1:24.9	as infection of the upper airway, which leads to obstruction and a characteristic barking cough.
1:30.9	The fancy word for Krupe is loringiotrecheitis, or if it extends into the bronchae, lorindio-trachio-bronkitis.
1:38.8	That's a mouthful.
1:40.3	Fun fact, the word Kroop is derived from Scottish for a raven's croak.
1:45.7	That's interesting, Stuart. I've never heard a raven croak.
1:48.9	Do you want me to show you? No. Now let's get back to croup.
	...

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