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학습 자료 둘러보기 →A toxic-appearing child with drooling, muffled voice, and inspiratory stridor has acute epiglottitis until proven otherwise. These signs indicate critical supraglottic narrowing.
Immediate priority is airway protection. Keep the child calm in a position of comfort, often sitting upright. Avoid supine positioning, throat inspection, or IV attempts that cause agitation.
Do not attempt to visualize the throat with a tongue depressor; laryngospasm can trigger complete airway obstruction. Prepare for emergent endotracheal intubation in a controlled setting (OR) by the most skilled provider.
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