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Major burn resuscitation — RCPSC EM MCQ

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HardTraumaMajor burn resuscitationRCPSC EM

CTAS 1. A 45-year-old is pulled from a house fire with partial-thickness burns to the entire anterior trunk and both arms. Weight is 80 kg, BP is 98/60 mmHg, HR 128, and carboxyhaemoglobin is 18%. Singed nasal hairs and hoarseness are present. What is the most appropriate next step?

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Correct answer: B — Secure airway and start warmed lactated Ringer's resuscitation

Major burns with inhalation signs need early airway control and formula-guided warmed crystalloid resuscitation while arranging burn-centre care.

Reference: Canadian Burn Association referral guidance; ATLS Student Course Manual