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Facial burns with airway risk — DipIMC MCQ

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HardTraumaFacial burns with airway riskDipIMC

After an enclosed-space fire, a patient has facial burns, soot in the mouth, hoarseness and progressive agitation. Oxygenation is beginning to fall. What is the next airway priority?

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Correct answer: B — Request early expert airway control while oxygenation is maintained

The best answer is “Request early expert airway control while oxygenation is maintained”. Soot, hoarseness and worsening agitation after enclosed-space fire indicate evolving inhalational airway injury. Oedema can make later intubation impossible, so summon the most experienced airway support early, give high-concentration oxygen and prepare primary and rescue plans while transfer is organised. Detailed burn assessment, oral intake or observation for complete obstruction must not delay airway protection.

Reference: Resuscitation Council UK, 2025 First aid guidelines: https://www.resus.org.uk/professional-library/2025-resuscitation-guidelines/first-aid-guidelines