In suspected epiglottitis, what emergency action should you prepare?

In suspected epiglottitis, what emergency action should you prepare?

• A. Oral antibiotics and discharge
• B. Immediate endotracheal intubation or tracheostomy
• C. Observation at home
• D. Lie flat on back and rest

Answer: (B)

Epiglottitis can cause rapid swelling that blocks the airway, so protecting the airway is the top priority. The emergency action to prepare is rapid airway control with endotracheal intubation if feasible, or a tracheostomy if intubation isn’t possible. This should be done in a controlled setting with experienced personnel and necessary equipment, because the airway can deteriorate quickly and delays can be dangerous. Keep the patient calm and upright to reduce obstruction, avoid provocative throat exams, and have suction, oxygen, and readiness for difficult airway management on hand. After securing the airway, start definitive treatment with IV antibiotics and steroids as indicated.

Epiglottitis can cause rapid swelling that blocks the airway, so protecting the airway is the top priority. The emergency action to prepare is rapid airway control with endotracheal intubation if feasible, or a tracheostomy if intubation isn’t possible. This should be done in a controlled setting with experienced personnel and necessary equipment, because the airway can deteriorate quickly and delays can be dangerous. Keep the patient calm and upright to reduce obstruction, avoid provocative throat exams, and have suction, oxygen, and readiness for difficult airway management on hand. After securing the airway, start definitive treatment with IV antibiotics and steroids as indicated.