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Adult epiglottitis — RCPSC EM MCQ

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HardRespiratory emergenciesAdult epiglottitisRCPSC EM

A 46-year-old man has severe sore throat, drooling, muffled voice, and tripod positioning. Temperature is 39.2°C, oxygen saturation is 93%, and lateral neck radiograph suggests a swollen epiglottis. He becomes increasingly anxious when laid flat. What is the most appropriate next step?

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Correct answer: C — Arrange controlled airway management with anaesthesia and ENT

Adult epiglottitis with drooling, tripod positioning, and inability to lie flat is an airway emergency. Controlled airway management with appropriate specialists is safer than provoking obstruction with pharyngeal examination.

Reference: Canadian emergency airway practice; infectious diseases guidance