A 47-year-old man presents to a Brisbane ED, triage category 1, with fever, drooling and severe sore throat. He is sitting forward, has inspiratory

Question

A 47-year-old man presents to a Brisbane ED, triage category 1, with fever, drooling and severe sore throat. He is sitting forward, has inspiratory stridor and a muffled voice. BP 142/84, HR 118, SpO2 94% on oxygen. Oropharyngeal examination is limited. What is the most important immediate action?

Accepted Answer

Move to theatre-ready airway management with senior help

Answer

Perform forceful tongue depression in triage

Answer

Delay review until CT neck is available

Answer

Discharge with oral penicillin

Answer

Give nebulised salbutamol and observe

Adult epiglottitis — ACEM Fellowship MCQ

A 47-year-old man presents to a Brisbane ED, triage category 1, with fever, drooling and severe sore throat. He is sitting forward, has inspiratory stridor and a muffled voice. BP 142/84, HR 118, SpO2 94% on oxygen. Oropharyngeal examination is limited. What is the most important immediate action?