The correct answer is D. Apply humidified oxygen.
This patient presentation is highly suggestive of epiglottitis, a life-threatening upper airway infection commonly seen in pediatric patients.
Key findings:
Drooling → inability to swallow secretions
Stridor → upper airway obstruction
Fever (102.4°F) → infection
Anxiety and tachycardia → respiratory distress
Why D is correct:
The priority is to maintain airway patency without agitating the child.
Humidified oxygen helps improve oxygenation while minimizing airway irritation.
It is the safest initial intervention in suspected epiglottitis.
Why the other options are incorrect:
A. Visualize the airway → Can trigger complete airway obstruction due to swelling
B. Suction posterior pharynx → May stimulate gag reflex and worsen obstruction
C. Insert oropharyngeal airway → Contraindicated in conscious or semi-conscious patients and may cause airway collapse
Exact Extracts:
“Do not attempt to visualize the airway in suspected epiglottitis.”
“Avoid any procedure that may agitate the child and cause airway obstruction.”
“Provide humidified oxygen and transport promptly.”
[References:, NREMT EMT Education Standards – Airway, Respiration & Ventilation (Pediatric Airway), National EMS Education Standards – Pediatric Respiratory Emergencies, NREMT Candidate Handbook – Airway Management, =============================================, , , , , , =================================================================, ]
