![]() ![]() Exposure to fire and smoke in an enclosed setting.Listen for any upper-airway noises and breath sounds.įibreoptic bronchoscopy can confirm inhalation injury.Look for signs of airway obstruction (stridor, use of accessory muscles, paradoxical chest movements).Does the patient respond appropriately to a question?.MAINTAIN SPINAL PRECAUTIONS IF INDICATED.Airway management manoeuvres such as intubation are not without risk with significant complications reported in the literature ( 29). It is important to identify early those who may require intubation as it becomes increasingly difficult with the development of oedema, especially once fluid resuscitation has commenced which cascades the swelling. ![]() Swelling to face and neck can rapidly place the airway at risk of obstruction, intubation is necessary early to protect the airway.Īirway stability should be assessed rapidly in burns involving facial or suspected inhalation injuries, particularly in the early period following injury when the airway is at risk of obstruction due to swelling of the oropharynx and soft tissues of the neck. ![]()
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