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Inhalation injury after enclosed-space burn — RCPSC EM MCQ

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HardResuscitation, procedures, airwayInhalation injury after enclosed-space burnRCPSC EM

CTAS 1: A 44-year-old is rescued from an apartment fire with facial burns and soot in the mouth. Vitals are HR 124, RR 28, SpO2 99% on pulse oximetry. Voice is hoarse and there are singed nasal hairs. Carboxyhaemoglobin is pending. What is the most appropriate next step?

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Correct answer: B — Perform early endotracheal intubation and give high-flow oxygen

Enclosed-space fire with facial burns, soot and hoarseness predicts airway oedema. Pulse oximetry can be misleading with CO exposure; early airway control is safer.

Reference: ATLS burn care; Canadian burn centre practice