Epiglottitis Definition 📖 Rapidly progressive infection of the epiglottis and adjacent tissues usually caused by bacteria; may cause airway obstruction and result in death without emergent intervention. Signs and Symptoms ➔ Sore throat, difficulty speaking and swallowing, drooling, respiratory distress ➔ Erythematous pharynx is the first symptom of severe sore throat that progresses to

epiglottal swelling and potential for airway obstruction Management 1. Place patient in sitting or comfortable position 2. IV access, Pulse oximetry, and O2 if available 3. Administer ONE of the following:

● Ceftriaxone (Rocephin) 1gm IV/IM daily for 7 days ● Amoxicillin/clavulanic acid (Augmentin) 875mg PO bid for 7 days

4. In addition, administer: ● Dexamethasone (Decadron) 10mg IV/IM x 1

5. Do not manipulate airway unless required, let the patient protect his own airway 6. If definitive airway is needed, make one attempt at intubation, and if failed, perform a cricothyroidotomy Disposition ➢ Urgent evacuation