In which situation would you be most concerned about airway obstruction?

The situation involving a 3-year-old with fever and laryngeal swelling raises significant concern for airway obstruction due to the anatomy and physiology of young children. In this age group, the airway is narrower and more susceptible to blockages caused by inflammation or edema. Laryngeal swelling can result from conditions such as croup or viral infections, which may lead to airway compromise.

Monitoring and protecting the airway in this scenario is critical, as the swelling can quickly progress, leading to respiratory distress or failure. Children may also exhibit signs of stridor, which indicates upper airway obstruction. Thus, the urgency in managing potential airway obstruction is highest in this case.

While the other situations, such as asthma symptoms, choking on a small object, and facial trauma, can also result in airway issues, the immediate and acute nature of laryngeal swelling in a young child typically demands the most urgent attention.