Actionsets help people take an active role in managing a health condition.  Croup: Managing a croup attack

How? - Learn the steps involved in taking action. How can I help manage my child's croup episode?

A croup attack usually can be managed at home. To help manage your child's episode of croup:

  • Keep calm. An episode of severe coughing and breathing difficulty from croup can be unsettling or frightening. However, it is usually not as severe as it sounds. Staying calm will help reassure your child and may prevent symptoms from becoming worse.
  • Use soothing and comforting techniques. If your child becomes upset and anxious, croup symptoms may get worse. For example, crying can make breathing more difficult. Provide comfort by holding or rocking your child. You may also be able to distract your child by reading a book, working a puzzle, or watching television.
  • Create moist air. If you have a cool air humidifier, hold your child and let the cool vapor blow directly into his or her face. You can also go with your child into the bathroom, shut the door, and turn on all the hot water faucets to create a moist and steamy atmosphere. Let your child breathe in the moist air for several minutes.
  • Take your child outside. Exposure to cool outdoor air often helps open a child's airways, reducing the coughing and breathing difficulty of a croup attack. Make sure your child is bundled up appropriately before going out.

If symptoms improve with these methods, put your child back in bed with the cool air humidifier blowing nearby. Do not smoke, especially in the house. If the episode occurs during the middle of the night, it is a good idea to sleep in or near your child's room until morning.

It is important to keep your child well hydrated. Offer water, noncaffeinated drinks, flavored ice treats (such as Popsicles), or crushed ice drinks several times each hour.

Your child may have recurrent attacks throughout the night. As long as symptoms improve with these methods, even briefly, your child should gradually feel better and you likely will not need immediate medical care.

However, if at any time your child has severe difficulty breathing, call911or other emergency services immediately.

Test Your Knowledge

  1. Symptoms of croup often sound worse than they are.

    1. True
    2. False
  2. You can help manage symptoms of a croup episode by encouraging your child to move around and be physically active.

    1. True
    2. False

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Author: Debby Golonka, MPHLast Updated: June 21, 2006
Medical Review: Michael J. Sexton, MD - Pediatrics
Thomas Emmett Francoeur, MDCM, CSPQ, FRCPC - Pediatrics

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