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Epiglottitis — DipIMC MCQ

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HardMedical EmergenciesEpiglottitisDipIMC

A 6-year-old is sitting forward, drooling and has a muffled voice with inspiratory stridor and fever. He looks toxic. What is the most appropriate transport decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DKeep him calm and upright while arranging urgent airway-capable transfer

Option D is correct because Suspected epiglottitis requires minimal agitation and rapid transfer to a setting with expert airway support. Option A is less appropriate because the clinical risk exceeds that destination or timeframe; option B is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option C is less appropriate because watchful waiting risks deterioration or delays definitive care; option E is less appropriate because unmonitored private transport is unsafe for this risk profile. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines