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Immediate airway risk stratification
Airway threat triage
Toxic appearance
Drooling
Muffled voice
Impending respiratory failure
Altered mental status
Exhaustion with decreased work of breathing
Severe upper airway obstruction
Stridor at rest
Marked suprasternal retractions
Hypoxemia
SpO2 persistently low on room air
Cyanosis
First minutes management
Stabilization priorities
Minimal agitation strategy
Caregiver presence
Avoid painful procedures until treatment effect
Position of comfort
Upright posture
Avoid supine restraint
Oxygen
Blow by oxygen for distress
Escalation to mask only if tolerated
Nebulized epinephrine for severe symptoms
Clinical response expected within minutes
Rebound monitoring requirement after initial improvement
Escalation triggers and team activation
Immediate escalation
Stridor at rest with poor air entry
Resuscitation bay
Airway capable clinician at bedside
Recurrent severe symptoms after epinephrine
Repeat nebulized epinephrine
Admit for ongoing therapy
Suspected alternate diagnosis
Epiglottitis
Bacterial tracheitis
Airway intervention framework
Intubation decision pathway
Indications
Worsening fatigue or altered mental status
Inadequate ventilation despite therapy
Technique principles
Most experienced airway operator
Smaller endotracheal tube than age prediction
Post intubation considerations
ICU level monitoring
Ongoing steroid therapy
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.