This protocol covers the management of croup presenting at mild severity — a Westley croup score of 0 to 1 — where inspiratory stridor appears only when the child is distressed, not at rest.
Clinical picture: Mild croup (Westley croup score 0–1). Inspiratory stridor is present only when the child is upset; no stridor is heard at rest.
At this severity level, management centres on reducing distress. An oral corticosteroid may be considered in appropriate circumstances — but the specific agent, criteria for use, and what to do when first-choice therapy is unavailable are detailed in the structured protocol.