What should be done first if epiglottitis is suspected?

When epiglottitis is suspected, the most critical initial action is to prepare to intubate. This is because epiglottitis can lead to rapid airway obstruction. The inflammation and swelling of the epiglottis can compromise the airway significantly, and any attempt to visualize the airway without proper preparation may exacerbate the situation or even cause complete airway compromise.

Being prepared to intubate ensures that the healthcare provider has immediate access to advanced airway management techniques should the patient's condition deteriorate. In cases where the airway is threatened, having equipment and readiness to perform intubation is crucial for patient safety.

While administering oxygen or other interventions may be necessary, the main focus should be on ensuring that the airway remains patent. Attempts to visualize the airway, while important in some cases, could provoke further swelling or distress in a patient with epiglottitis, which is why the priority is to be ready to secure the airway through intubation if necessary.