What is the first action to take in the treatment of epiglottitis?

In the management of epiglottitis, the critical early step is ensuring the airway is secure due to the risk of rapid airway obstruction. Given that epiglottitis is characterized by inflammation and swelling of the epiglottis, there is an immediate concern that the airway could become compromised. Therefore, calling an anaesthetist for intubation before the airway becomes obstructed is the most vital first action.

Intubation, if necessary, should be performed as soon as possible to prevent respiratory distress or failure. This approach is crucial as there may be a sudden worsening of the patient’s condition, and securing the airway can be life-saving. While initiating antibiotic therapy, administering corticosteroids, and providing oxygen therapy are important components of treatment for epiglottitis, they are secondary to addressing the immediate threat of airway obstruction. Timely intervention in securing the airway is paramount, which aligns with the correct choice.