First Things First (assess & treat for the following)
- Is the patient hypoxemic?
- High-flow humidified oxygen for all patients
- Oximetry may be artificially elevated.
- Is there evidence of airway injury?
- May not be apparent immediately, as long as 24-48 hrs
- Look for facial burns, singed nasal hair, cough, carbonaceous sputum.
- Examine for evidence of upper airway edema, hoarseness, stridor, or wheezing.
- Does patient require emergent intubation?
- Better to secure airway early!
- Facial or neck burns may become constrictive.
- Does patient have evidence of shock?
- Hypovolemia is common in burn injuries
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