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Thermal burns inhalation injury — ABEM Board MCQ

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HardTraumaThermal burns inhalation injuryABEM Board

A 42-year-old woman is rescued from a house fire and arrives coughing soot. Triage acuity is ESI 1; BP 128/76 mm Hg, HR 122/min, RR 28/min, SpO2 98% on high-flow oxygen. She has facial burns, singed nasal hairs, hoarseness, and progressive oropharyngeal edema. Which of the following is the most appropriate initial action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Perform early endotracheal intubation

Inhalation injury with hoarseness and edema can progress rapidly; early definitive airway is indicated before obstruction occurs.

Reference: American Burn Association referral criteria; ATLS burn guidance