…latter. The treatment is also time limited by its very nature: a patient who has not responded within a couple of hours should be intubated…

…not delay treatment Saturation Give oxygen in hypoxia, not routinely to a normoxic patient Temperature Treat fever and look for an underlying infection Swallowing Keep…

…to flex the head forward and swallow repeatedly , preferably with sips of water if swallowing is safe. Advance the tube in time with the swallows…

…cardiac tissue, the latent interval of several weeks, improvement with anti inflammatory treatment, and the tendency to recur all support an immunopathological mechanism. The precise…