Burned

A 15 year old girl is brought in 20 minutes after being rescued from a burning house.

She was asleep at night, when a spark from a faulty phone charger started a fire, leaving her trapped in her bedroom.

Her medical and surgical histories are unremarkable. Her COHb level is found to be 7% (normal: <3%).

Select Relevant Investigations
Full Blood Count

Performed

WBC/DC: 16,200/mm3
N: 75%, L: 11%
Hb: 13.5 g/dL
Hct (PCV): 41.5%
Platelets: 370,000/mm3
Arterial Blood Gases

Performed

On room air:
pH: 7.42 (7.35 - 7.45)
paCO2: 35 mmHg (35-45)
paO2: 90 mmHg (80-100)
HCO3: 22 mEq/L (22-26)
Chest X Ray

Performed

The chest X-Ray appears normal.
Fibreoptic Bronchoscopy

Performed

Fibreoptic bronchoscopy reveals no laryngeal or tracheal edema.

Select Relevant Management
Intubate stat
Referral to Burns Unit
Escharotomy
IV Fluids stat