ED evaluation begins with rapid triage and measurement of vital signs. Evaluate airway, breathing, and circulation, and place the patient on continuous electrocardiography and pulse oximetry monitoring. Patients in respiratory distress with stridor or wheezing should immediately be placed in a resuscitation area. Frequently reassess the need for intubation or awake, fiberoptic intubation, even in initially stable patients, and closely monitor all patients, keeping advanced airway equipment close at hand.54,56
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