2nd May 2024

A 35-year-old man presents with a high fever, severe sore throat, difficulty swallowing, and a muffled voice.

A 35-year-old man presents with a high fever, severe sore throat, difficulty swallowing, and a muffled voice. He appears anxious and is drooling. He prefers sitting upright and leaning forward. On examination, he is febrile and has stridor. There is no cervical lymphadenopathy. His vaccination history is unclear. Due to his respiratory distress, further examination of the throat is avoided to prevent potential airway compromise.

Which is the most appropriate initial management?