A 3-year-old boy is brought to a regional emergency department 30 minutes after being carried out of a house f…

Question

A 3-year-old boy is brought to a regional emergency department 30 minutes after being carried out of a house fire. There is soot around his nostrils and on his tongue, his cry is hoarse and there is a harsh noise as he breathes in. Partial-thickness burns cover his anterior chest and both forearms. His oxygen saturation is 99 per cent on high-flow oxygen and he is crying and pushing you away. Which one of the following should be done first?

Accepted Answer

Call the anaesthetist to secure the airway

Answer

Estimate the burn area and start fluid replacement

Answer

Give intravenous morphine for analgesia

Answer

Measure the carboxyhaemoglobin concentration

Answer

Refer him to the state burns service

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