Major burn resuscitation — MCCQE Part 1 MCQ
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Correct answer: B — Perform early endotracheal intubation and begin warmed crystalloid resuscitation
Hoarseness and soot after an enclosed-space burn suggest inhalation injury, and early airway control is needed before oedema progresses. Significant burns also require fluid resuscitation guided by urine output. Normal oxygen saturation does not exclude impending airway compromise or carbon monoxide exposure.
Reference: https://emergencycarebc.ca/clinical_resource/clinical-summary/burns/; https://www.albertahealthservices.ca/assets/info/hp/trauma/if-hp-trauma-burn-management-guideline.pdf