A man pulled from a house fire has facial burns, singed nasal hairs, soot in the mouth and a hoarse voice. What is the priority?
Answer and explanation
Correct answer: B. Early endotracheal intubation by an experienced operator
- Step 1: Facial burns, soot and hoarseness suggest an inhalation injury with developing oedema. Step 2. Airway swelling can progress rapidly, so the airway is secured early by an experienced operator. Answer: Early intubation. Why not the others: Oral fluids and observation delay airway control. A morning film is too late. Dressings do not save the airway.
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