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Current research tells us that administering epinephrine can be done safely without dilution via small volume nebulizer. Additionally, it appears to be just as, and possibly more effective than, racemic epinephrine for the treatment of croup. Thanks for reading!

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Croup: An Overview. Kawaguchi A, Joffe A. Evidence for Clinicians: Nebulized epinephrine for croup in children. Cochrane Review: Nebulized epinephrine for croup in children. Efficacy of nebulized L-epinephrine for treatment of croup: a randomized, double-blind study.

Lidocaine HCI 1.0% w/Epi (1:100,000) 30ml, MDV 25/pk

Paramedic assessment and treatment of upper airway obstruction in pediatric patients: an exploratory analysis by the Childrens Safety Initiative-Emergency Medical Services. The American Journal of Emergency Medicine.

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