0535: The parents of a 4-year-old report that their child has not been feeling well for the past two days. They went to urgent care, and the child was diagnosed with viral pharyngitis. Less than an hour ago, the parents were abruptly awakened by their child drooling and reporting throat pain. On assessment, the child is restless and agitated. The child responds with a muffled voice. Sternal retractions are noted, and lung sounds are clear in the upper fields and diminished bilaterally in the bases. Radial pulse 2+ and thready. Vital signs: T 100.4 °F (38°C), P 125, RR 40, BP 109/74, pulse oximetry 95% on room air.
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