2-year-old Previously in Pediatrics — Case | Pediatric Emergency | SMLE Q#18120
SMLE Question #18120
Pediatrics
Pediatric Emergency
Objective: OBJ-OPH-REFERRAL-001
Last updated: February 2026
A 2-year-old previously healthy child develops sudden worsening breathing difficulty and a weak, ineffective cough while eating. In the emergency department, the child is alert but severely distressed and cannot speak in full words. Examination shows central cyanosis, suprasternal and subcostal retractions, and poor air entry without audible wheeze. What is the most appropriate next step in management?
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