What is the most appropriate treatment for an 18-month-old with respiratory distress, who is tachypneic and has sternal retractions?

In the scenario of an 18-month-old child experiencing respiratory distress, the most appropriate treatment involves addressing both the child’s need for oxygen and the emotional comfort of remaining with a parent. Administering blow-by oxygen allows for the delivery of supplemental oxygen without the need for a tight-fitting mask, which can be distressing for young children. This non-invasive method can effectively help improve oxygenation while minimizing additional anxiety for the child.

Moreover, transporting the child with her mother is crucial in maintaining emotional support. Familiarity and the presence of a caregiver can significantly help in calming the child, which may improve respiratory efforts and overall comfort during transport. Keeping the child comfortable and reducing stress can also positively influence their physiological response, as stress can exacerbate respiratory distress.

While providing ventilatory assistance or advanced airway management may be necessary in some situations, they are more invasive procedures that may cause further anxiety and discomfort for a child who is already in distress. Applying a nasal cannula might not be as effective in this situation due to the age of the child and her condition, as young children often do not tolerate nasal cannulas well, and there’s a risk of further complicating the situation. Thus, the chosen approach balances the necessity of medical intervention with the psychological