Abstract
Difficulty in breathing is the commonest medical reason for paediatric attendance at emergency departments.1 Infections of the paediatric airway may combine the urgent challenge of managing airway obstruction and respiratory distress with the management of systemic infection and sepsis. While basic life support principles provide a sound framework for immediate management of respiratory distress, therapies will vary with the specific pathology encountered. It should be remembered that non-infective causes of respiratory distress may present in a similar fashion.
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