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Inhalational burn injury — DipIMC MCQ

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HardPre-Hospital Trauma ManagementInhalational burn injuryDipIMC

A 49-year-old man is found after an explosion with facial burns, singed nasal hair, hoarse voice and increasing stridor. Oxygen saturations are 94% on high-flow oxygen. What is the most appropriate transport decision?

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

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Correct answer: C — Request critical care airway support and expedite transfer to a burns-capable major trauma centre

Hoarseness and stridor after facial burns suggest evolving airway oedema, which can become impossible to manage if delayed. Early critical care support and transfer to appropriate burns/trauma capability are indicated. Oxygen saturation can remain deceptively normal until sudden obstruction occurs. The pearl is that airway burns are diagnosed by trajectory and risk, not just a pulse oximeter value.

Reference: JRCALC Guidelines 2025; NICE Major Trauma Service Delivery NG40