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Inhalational burn injury — RCPSC EM MCQ

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EasyTraumaInhalational burn injuryRCPSC EM

A 45-year-old is rescued from a house fire with facial burns. He is hoarse, coughing carbonaceous sputum, and has progressive lip and tongue swelling. Oxygen saturation is 98% on high-flow oxygen. What is the most appropriate next step?

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Correct answer: A — Perform early endotracheal intubation with a difficult airway plan

Perform early endotracheal intubation with a difficult airway plan is correct: the clues indicate Inhalational burn injury and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian burn/ATLS practice