Noisy Breathing

At 0100hrs you are called to a private residence on an urgent response for a pediatric patient (age 5) reported to be short of breath. On arrival you find the child in their mother's arms. They are anxious but alert. You hear a loud, harsh sound on inspiration and a cough that sounds distinctly like a seal barking. They have had a runny nose for two days, and stayed home from school today due to a fever and lethargy. They woke up suddenly tonight gasping for air and the parents called 9-1-1 immediately because of the odd cough.