In suspected epiglottitis, which action is contraindicated?

• A. Do not inspect the throat; keep the child calm and ready for possible airway intervention; call for help.
• B. Place the child in a prone position.
• C. Inspecting the throat.
• D. Administer oral antibiotics.

Answer: (C)

In suspected epiglottitis, the priority is to protect the airway. The swollen epiglottis can trigger a dangerous laryngospasm if the throat is inspected or manipulated, so visualizing the throat with an exam tool or techniques like a tongue blade is contraindicated. The safest approach is to keep the child calm and still, minimize distress, and have help ready for possible airway intervention.

Focus on securing the airway if needed, including preparing for potential endotracheal intubation, and provide supportive care such as humidified oxygen while arranging definitive treatment. IV antibiotics are given in a monitored setting; oral antibiotics are not appropriate for initial management in this acute emergency due to rapid progression and swallowing difficulty.