The plan of care for a child with possible epiglottitis should include:

Epiglottitis is a life-threatening conditionoften caused by Haemophilus influenzae type B. It presents withstridor, drooling, and dysphagia. Direct visualization may provokelaryngospasm and complete airway obstruction, making itcontraindicated unless in a controlled OR environment. Alateral neck x-raymay reveal the “thumbprint sign” (swollen epiglottis) and is the safer diagnostic choice.

“For suspected epiglottitis, lateral neck radiographs are recommended prior to airway manipulation. Visualization of the airway is avoided due to risk of precipitating obstruction.”

(Referenced from CCRN Pediatric – Direct Care: Pulmonary, Airway Emergencies)