Pediatric emergency medicine trisk 1499 1499

A child with chronic stridor generally does not require an extensive evaluation
in the ED unless significant respiratory distress is present or a significant change
in the quality of the stridor is noted. The infant with chronic stridor who is
otherwise well should be referred to the primary pediatrician or to an
otolaryngologist. Once a neoplastic cause is deemed unlikely, the older child with
chronic stridor should be referred to otolaryngology for evaluation, including
nasopharyngoscopy and possible direct laryngoscopy for evaluation of the vocal
cords.
The Children’s Hospital of Philadelphia Clinical Pathways
ED Pathway for the Evaluation/Treatment of the Child With Croup
URL: />Authors: J. Piccione, MD; M. Mittal, MD; J. Seiden, MD; B. Jenssen,
MD; M. Dunn, MD; R. Hughes, PharmD; K. Cohn, MD; E. Hysinger,
MD; A. Buzi, MD; E. Walker, RT; M.F. Duff, RT; J.M Malpass, RT; S.M.
Gaines, RN
Posted: September 2014, last revised December 2016, reviewed
December 2018
ED Clinical Pathway for the Evaluation/Treatment of the Child With
a Suspected Deep Neck Space Infection
URL: />Authors: R. Abaya, MD; M. Joffe, MD; L. Vella, MD; M. Dunn, MD; S.
MacFarland, MD; M. Rizzi, MD; K. Shekdar, MD; R. Bellah, MD; J.
Lavelle, MD
Posted: February 2017, reviewed October 2019
Suggested Readings and Key References
Cherry JD. Croup. N Engl J Med 2008;358(4):384–391.
Guldfred LA, Lyhne D, Becker BC. Acute epiglottitis: epidemiology, clinical
presentation, management, and outcome. J Laryngol Otol 2008;122(8):818–
823.
Hopkins A, Lahiri T, Salerno R, et al. Changing epidemiology of life-threatening
upper airway infections: the reemergence of bacterial tracheitis. Pediatrics