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Epiglottitis — DIPIMC MCQ

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HardPaediatric and Obstetric EmergenciesEpiglottitisDIPIMCDipIMC

A 4-year-old has a rapid-onset high fever and is drooling, with soft stridor. The child is sitting forward, anxious, with a muffled voice, and looks toxic.

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

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Correct answer: EKeep the child calm and upright with a parent, give oxygen if tolerated and arrange urgent senior airway support.

A toxic child with drooling and stridor suggests epiglottitis, where the priority is to avoid distressing the child, to keep them upright and calm, and to arrange urgent transfer with senior airway expertise available. Examining the throat or lying the child flat can precipitate complete airway obstruction. Definitive airway management is undertaken by experienced clinicians in a controlled environment.

Reference: APLS (Advanced Paediatric Life Support)