Acute onset, drooling and hypoxemia part 2


Elliot Williams, Paramedic Woodburn Ambulance


David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center


• Hypoxemia
• Respiratory distress

Editor’s Notes

It is always better to take the shirt off to better assess respiratory distress. Interesting that this toddler was strep throat positive. My guess is that with drooling and low grade fever this is more likely to be viral croup. No audible stridor or drooling on exam, and the child actually looks well. It was totally reasonable to hold the racemic epinephrine en route

– Dr. David Spiro, MD Pediatric Emergency Physician & ReelDx Contributor

Suggested References



• Gender: Male
• Age: 2 years
• Height: Not Available
• Weight: Not Available


• Temperature: 99 F/37.2 C
• Blood Pressure: 103/64
• Heart Rate: 129
• Respiratory Rate: 20
• Pulse Oximetry: 93% RA

Signs and Symptoms

Seen in PCP office with drooling, sats 93% RA, positive strep test.

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