Patients should be immediately assessed for life-threatening conditions, especially airway obstruction. Do not agitate the child. Allow the child to remain in his position of comfort, even if this means being carried or lying in a parent’s lap. Avoid unnecessary procedures or examinations such as examination of the posterior pharynx. Oxygen may be administered if cyanosis is present. If nebulized epinephrine is available to specialized advanced life support teams and the child demonstrates audible stridor and respiratory distress, it may be administered on the way to the hospital to alleviate symptoms. Nonetheless, transport to the hospital must not be delayed for the administration of inhaled medications.