What should be done first if a pediatric patient is experiencing respiratory distress?

When a pediatric patient is experiencing respiratory distress, placing the patient in a position that decreases the work of breathing is the most critical first step. This positioning can help to open the airway and facilitate easier breathing, which is essential in managing respiratory distress. For instance, allowing the child to sit up or lean forward can alleviate some of the strain on the respiratory muscles and improve airflow.

Although administering oxygen is also important in managing respiratory distress, the immediate priority is to ensure that the patient is in a position that optimizes their ability to breathe. This foundational approach sets the stage for any subsequent interventions, such as oxygen therapy or transport to the hospital.

Starting intravenous fluids or transporting to the nearest hospital may be necessary later, but they do not directly address the immediate need to facilitate breathing. Therefore, ensuring the patient is in a proper position to aid their respiratory effort is the most effective first action to take.