Acute onset, drooling and hypoxemia

Authors:

• Elliot Williams, Paramedic Woodburn Ambulance

Editors:

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

Diagnosis

• 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