Singed Nasal Hair
• Patients with respiratory symptoms or physical evidence of respiratory burns (singed nasal hair, soot in the oropharynx) should be transported to the closest receiving hospital.
• Assess for any of these indications for intubation: face and neck burns, singed nasal hair, oral or lip burns, soot in upper airway, carbonaceous sputum, dyspnea/stridor, tachypnea, hoarseness, sore throat, cough, rhonchi, poor consciousness, associated injuries.
Initial vital signs: BP 90/60, HR 120, RR 30, O2 sat 95% PE: Singed nasal hair, soot around mouth, burns to face, arms and back. What are the immediate concerns?
Singed nasal hair, mucosal erythema, edema, blisters, carbonaceous sputum, shortness of breath, or dysphonia may be observed. Indirect laryngoscopy can be helpful in following these patients in the first 2 or 3 critical days.
Suspect inhalation injuries with facial burns and evaluate for singed nasal or facial hair, carbonaceous sputum, cough, stridor, wheezing or hoarseness.
The signs and symptoms of inhalation injury include: nasal and oropharyngealburns, charring of the tongue or teeth, sooty (blackened) sputum, singed nasal and facial hair, abnormal breath sounds (e.g., stridor, wheezing, etc.), and respiratory distress.
Lower Airway Injury: Closely resembles the same signs and symptoms as upper airway, especially during the acute phase of burns. 30 30 Signs and Symptoms Signs and Symptoms • Burns of face, mouth or neck • Burns of face, mouth or neck • Singed nasal /facial hair • Singed nasal /facial hair • Red & dry ...
Smoke inhalation is a progressive lung injury indicated by the presence of burns of the face or mouth, singed nasal hair, soot in the mouth or being coughed up, hoarseness or noisy breathing, difficulty breathing, drooling or difficulty swallowing, swollen tongue, and agitation.
IV Protocol Normal Saline Bolus T r a u m a P r o t o c o l s Signs and Symptoms Burns, pain, swelling Dizziness Loss of consciousness Hypotension /shock Airway compromise/distress singed facial or nasal hair Hoarseness / wheezing History Type of exposure (heat, gas, chemical) Inhalation injury ...
Signs of inhalational injury include the following: stridor/voice change/brassy cough; carbonaceous sputum or carbon particles in the oropharynx; oropharynx burns/bronchoscopy findings; singed nasal hair and face burns (some say the latter are questionable signs) and full thickness or deep dermal burns ...
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