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Urgent care or emergency department treatment of croup depends on the degree of respiratory distress. In mild croup, a child may present with only a croupy cough and may require nothing more than parental reassurance, given alertness, baseline minimal respiratory distress, proper oxygenation, and stable fluid status.rgent care or emergency department treatment of croup depends on the degree of respiratory distress. In mild croup, a child may present with only a croupy cough and may require nothing more than parental reassurance, given alertness, baseline minimal respiratory distress, proper oxygenation, and stable fluid status.
By Mayo Clinic Staff. Print. Croup refers to an infection of the upper airway, which obstructs breathing and causes a characteristic barking cough. The cough and other symptoms of croup are the result of swelling around the vocal cords (larynx), windpipe (trachea) and bronchial tubes (bronchi). When a cough forces air through this narrowed passage, the swollen vocal cords produce a noise similar to a seal barking. Likewise, taking a breath often produces a high-pitched whistling sound (stridor). Croup typically occurs in younger children.