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Wheezing and mild respiratory distress in a child is often due to asthma/reactive airway disease or viral bronchiolitis. Initial management includes inhaled beta-agonists (albuterol) delivered via nebulizer or MDI with spacer; ipratropium is beneficial in moderate to severe exacerbations. Titrate oxygen to maintain adequate saturation (commonly ≥94%). Steroids are useful but not immediately acting; they do not replace bronchodilators. IV epinephrine is inappropriate and dangerous here. CPAP is reserved for significant distress or impending failure and may not be tolerated in young children. Paramedic pediatric objectives emphasize minimal agitation, frequent reassessment of work of breathing and auscultation, and ETCO₂ (if available) to gauge ventilation. Consider differential diagnoses (pneumonia focal crackles, foreign body unilateral wheeze). Early bronchodilation improves airflow, reduces work of breathing, and can prevent deterioration requiring advanced airway support.