Assessment of a child with croup is ideal in a hospital situation because of the chance of airway resistance. Pulse oximeters are essential in the assessment, but the article stresses that direct observation is more important. There are times that the child’s oxygen saturation may be sufficient, but might have increased work of breathing and respiratory distress regardless of their saturation. Primary assessment should be taken for each identified problem then resolved before moving on to the next. Assessment of a child should be ongoing.