EM@3AM: Ludwig’s Angina

A 28-year-old male presents for dysphagia and inability to handle secretions. His mouth hurts and noticed his neck looked larger than usual. He has been unable to eat for the past 12 hours due to pain with swallowing, drooling, and difficulty opening his mouth. Review of systems is remarkable for a recent dental infection of his right bottom molar. What’s the primary concern, and what’s your next step in your evaluation and treatment?