Stridor

Template

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OnsetChoose oneFirst line

PhaseChoose one

HistoryChoose any

Airway red flags presentChoose any

Airway red flags absentChoose any

ExamChoose one

AssessmentChoose one

PlanChoose one

Additional planChoose any

DispositionChoose one

Emergency careChoose anyNot in the note with these choices

Follow-upChoose one

Counseling

Stridor is a high-pitched breathing sound from narrowing in the upper airway, and the ENT evaluation will look at the airway directly to find the cause. Recommended supportive care with an emphasis on keeping the child calm and upright when the noise is worse. Return precautions given including noisy breathing at rest, working hard to breathe, pauses in breathing or blue color, drooling or trouble swallowing, poor feeding, choking, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

CounselingNot in the note with these choices

Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Stridor
• No stridor at rest, retractions, drooling, hypoxia, toxic appearance, choking episode, hives or facial swelling, tripod or sniffing position or drowsiness, apnea or color change, or feeding problems
• Comfortable at rest, with good air movement
• Stridor without a confirmed cause
• Referred to pediatric ENT for airway evaluation
• Follow up after the ENT visit

Stridor is a high-pitched breathing sound from narrowing in the upper airway, and the ENT evaluation will look at the airway directly to find the cause. Recommended supportive care with an emphasis on keeping the child calm and upright when the noise is worse. Return precautions given including noisy breathing at rest, working hard to breathe, pauses in breathing or blue color, drooling or trouble swallowing, poor feeding, choking, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Onset (acute, chronic, recurrent)
Phase (inspiratory, biphasic, expiratory)
Airway red flags present or absent
Stridor without a confirmed cause; foreign body; deep neck infection; allergy; fixed narrowing
Airway x-rays; reflux measures

Return precautions in the template

noisy breathing at restworking hard to breathepauses in breathing or blue colordrooling or trouble swallowingpoor feedingchoking

Sources

This template was built from clinical practice; no source is linked yet.

Few formal guidelines cover this topic, so the template also leans on expert opinion.