The correct answer is D. Apply humidified oxygen.

This pediatric patient presents with:

Drooling

Stridor

Fever (102.4°F)

These are classic signs of epiglottitis, a life-threatening upper airway infection.

Critical Concept: DO NOT agitate or manipulate the airway

In suspected epiglottitis:

The airway is severely inflamed and unstable

Any attempt to visualize, suction, or insert an airway adjunct can cause:

Sudden airway closure

Complete obstruction

NREMT-aligned guidance states:

“Avoid examining the airway in patients with suspected epiglottitis.”

“Do not insert airway adjuncts or suction unless absolutely necessary.”

Why D is correct:

Humidified oxygen helps improve oxygenation without irritating the airway

It is the safest and most appropriate intervention

Keep the child calm and in a position of comfort

Why the other options are incorrect:

A. Visualize the airway → Dangerous; may cause airway collapse

B. Suction posterior pharynx → Can trigger complete obstruction

C. Insert an oropharyngeal airway → Contraindicated in this condition

Exact Extracts (NREMT-aligned EMT educational references):

“Drooling, stridor, and fever suggest epiglottitis.”

“Do not place anything in the mouth.”

“Provide oxygen and avoid agitating the child.”

Clinical Priority Summary:

In suspected epiglottitis, the priority is to maintain a calm environment and provide oxygen without airway manipulation, making D the correct answer.