NREMT EMR First Responder

Category - Special Patient Populations

You are called to a friend’s home to check out their 4-year-old son who has not been immunized. The child is sitting in a tri-pod position, drooling, with audible stridor. What is the likely cause of his respiratory distress?
  1. Influenza
  2. Foreign body in the airway
  3. Tonsillitis
  4. Strep throat
  5. Epiglottitis
Explanation
Answer: E - This child has symptoms that are classic for epiglottis. Epiglottitis is now exceedingly rare due to the immunization that prevents the primary pathogen that causes epiglottitis, haemophilus influenza type b (HIB); however, it is noted that this child has not been immunized; thus, he is at high risk.
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