Epiglottitis

Question 1

Age

Answer 1

1-6 years

Question 2

Presentation
- High fevers
- Painful throat preventing speaking or swallowing
- Inspiratory […] and rapidly increasing respiratory difficulty over […]
- Child sits immobile, […] with […] mouth to optimise airway
- Minimal or absent […]

Answer 2

stridor, hours
upright, open
cough

Question 3

When to suspect

Answer 3

if they were born overseas with poor immunisation coverage or are refugees who did not have reliable access to healthcare

Question 4

Mx - EMERGENCY

Senior ENT, anaesthetic and paediatric support is required as soon as possible alongside notifying PICU

• Do not examine or upset the child in the absence of […] support
• Securing the […] is the first priority. Endotracheal intubation may be necessary.
• Once the airway is secure, take […] and examine the throat
• Treat with IV antibiotics: […]

Answer 4

senior
airway
cultures
cefuroxime