The best clinical indicator of inhalational burn is stridor – if absent – facial or lip signs are inaccurate at predicting supraglottic or glottic injury. Use awake oral anaesthetic laryngoscopy with ketamine dissociation to exclude inhalational injury with fibreoptic or video laryngoscopy.
- Ventricular tachycardia (Brugada criteria) vs Atrial Flutter with regular block (Golden numbers)
- Guillain Barre in ED – acute inflammatory demyelinating polyneuropathy – ascending motor paresis with lower motor neurone features with some dyautonomia and cranial nerve abn – don’t forget to check FVC and FIP.
- Burns in the ED
- Inhalational burns – use awake oral anaesthetic fibreoptic or video laryngoscopy
- Overestimation of TBSA leads to ARDS and Abdominal compartment syndrome
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