Keeping the person's airway open is the first concern. Some hospitals have epiglottitis teams. These teams have specialists to help the person with epiglottitis. The affected person should try to stay calm. A special breathing tube, known as an endotracheal tube, may need to be put through the mouth or nose into the windpipe. This bypasses the swollen epiglottis. In severe cases, a hole may need to be cut through the neck and into the windpipe. This is called a tracheotomy. Once the airway is secure, tests and treatment begins. Treatment includes antibiotics and steroids. It usually takes 48 to 72 hours to reduce swelling enough to remove the breathing tube. Adults and mildly affected children often do not need a breathing tube.
There may be allergic reactions and other side effects from medications. There may be scarring if a tracheotomy is needed.
Once the swelling has gone away, the child's breathing tube is removed. Oral antibiotics and tapering doses of oral steroids are given at home.
This is a true medical emergency. If there is a suspicion of epiglottitis, someone should call emergency medical services or take the person to the nearest emergency department immediately.