22nd August 2023

A 1-year-old child presents to A&E with signs of severe respiratory distress, including grunting, nasal flaring, and poor feeding

A 1-year-old child presents to A&E with signs of severe respiratory distress, including grunting, nasal flaring, and poor feeding. The child has a history of cough and runny nose for the past three days. The respiratory rate is 70 breaths per minute, and oxygen saturation is 88%.

What is the most appropriate initial management?