**Core Concept**
The scenario describes a child in severe respiratory distress, likely experiencing status asthmaticus, a life-threatening condition requiring immediate attention. The child's cyanosis, gasping, and unresponsiveness indicate severe hypoxia and impending respiratory failure.
**Why the Correct Answer is Right**
In this situation, the primary goal is to establish a secure airway and ensure adequate oxygenation. The first step would be to administer 100% oxygen via a non-rebreathing mask, followed by bag-valve-mask (BVM) ventilation if necessary. This is crucial to prevent further hypoxia and potential brain damage.
**Why Each Wrong Option is Incorrect**
**Option A:** Administering bronchodilators would be premature without first securing the airway and ensuring adequate oxygenation.
**Option B:** Intubation is a crucial step, but it is not the first step in this scenario. Establishing a secure airway requires careful preparation and oxygenation first.
**Option C:** Intraosseous access may be necessary for medication administration, but it is not the immediate priority in this situation.
**Clinical Pearl / High-Yield Fact**
In pediatric emergencies, always prioritize securing the airway and ensuring adequate oxygenation before administering medications or performing other interventions.
**Correct Answer:** B. Intubate the child after administering 100% oxygen via a non-rebreathing mask.
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