Several Hours Of High in Pediatrics — 4yo Child | Pediatric Emergency | SMLE Q#713
SMLE Question #713
Pediatrics
Pediatric Emergency
Objective: OBJ-OPH-REFERRAL-001
Last updated: February 2026
A 4-year-old boy is brought to the emergency department with several hours of high fever, severe sore throat, drooling, muffled voice, and increasing breathing difficulty. He is sitting upright leaning forward and appears anxious. He has inspiratory stridor and suprasternal retractions. Oropharyngeal examination is deferred due to concern for precipitating airway obstruction. What is the most appropriate next step in management?
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