Approach to upper airway obstruction (pediatrics) Quiz: Ace Your Exams
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An 8-year-old boy is brought to the emergency department for evaluation of shortness of breath. He is accompanied by his parent, who states they were eating lunch when their son developed a scratchy sensation in his throat followed by hives and facial swelling. His medical history is notable for eczema and seasonal allergies. Temperature is 36 °C (98.6 °F), heart rate is 130 beats/minute, blood pressure is 80/40 mmHg, and respiratory rate is 28/min with SaO2 of 82% on room air. On exam, the patient is audibly wheezing, using accessory muscles of respiration. His speech is garbled, and he cannot speak in clear, full sentences. Oropharyngeal exam reveals swollen lips and tongue. Which of the following is the best next step in management?
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