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    Smoke Inhalation Injury: Treatment Protocol R07

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    Azzhr Fah
    This document provides guidance for emergency medical services on treating patients with smoke inhalation injuries. It outlines the history, signs and symptoms, differential diagnosis, treatment protocols, and pearls for management based on airway involvement being none/mild, moderate, or severe. The treatment protocols include assessing the airway and oxygen needs, monitoring, nebulized medications, CPAP, and transporting to the closest appropriate receiving facility. Ensuring decontamination and obtaining chemical exposure information is also advised.

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    © All Rights Reserved
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    Smoke Inhalation Injury: Treatment Protocol R07

    Uploaded by

    Azzhr Fah
    15 views2 pages
    This document provides guidance for emergency medical services on treating patients with smoke inhalation injuries. It outlines the history, signs and symptoms, differential diagnosis, treatment protocols, and pearls for management based on airway involvement being none/mild, moderate, or severe. The treatment protocols include assessing the airway and oxygen needs, monitoring, nebulized medications, CPAP, and transporting to the closest appropriate receiving facility. Ensuring decontamination and obtaining chemical exposure information is also advised.

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    r07_-_smoke_inhalation_injury

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    This document provides guidance for emergency medical services on treating patients with smoke inhalation injuries. It outlines the history, signs and symptoms, differential diagnosis, treatment protocols, and pearls for management based on airway involvement being none/mild, moderate, or severe. The treatment protocols include assessing the airway and oxygen needs, monitoring, nebulized medications, CPAP, and transporting to the closest appropriate receiving facility. Ensuring decontamination and obtaining chemical exposure information is also advised.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views2 pages

    Smoke Inhalation Injury: Treatment Protocol R07

    Uploaded by

    Azzhr Fah
    This document provides guidance for emergency medical services on treating patients with smoke inhalation injuries. It outlines the history, signs and symptoms, differential diagnosis, treatment protocols, and pearls for management based on airway involvement being none/mild, moderate, or severe. The treatment protocols include assessing the airway and oxygen needs, monitoring, nebulized medications, CPAP, and transporting to the closest appropriate receiving facility. Ensuring decontamination and obtaining chemical exposure information is also advised.

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    San Mateo County Emergency Medical Services

    Smoke Inhalation Injury


    For patients with smoke inhalation
    History Signs and Symptoms Differential
    • Number and severity of other victims • Facial burns, pain, and/or swelling • Foreign Body Aspiration
    • Industrial or residential fire • Cherry red skin • Asthma exacerbation
    • Duration of inhalation • Loss of consciousness • COPD exacerbation
    • Social history ‐ smoking • Hypotension/shock • Cyanide poisoning
    • Past medical history • Airway compromise/distress could be indicated by • Carbon monoxide poisoning
    • Other trauma hoarseness/wheezing • Thermal injury
    • Odor • Seizure/AMS after industrial or closed space fire • Heart failure
    consider cyanide poisoning • Acute respiratory distress syndrome

    Approved
    For suspected closed space 
    Burn Receiving Centers
    inhalation, choose Severe  Assess
    Airway Involvement path  Airway St. Francis – San Francisco
    Valley Med. Center – San Jose
    UC Davis – Sacramento

    No or Mild Airway Involvement  Moderate Airway Involvement Severe Airway Involvement


    Airway patent, no signs of edema, no Suspected inhalation injury with only one Accessory muscle use or altered breath
    stridor or change in voice, no soot in the of the following: Wheezing, presence of sounds and definitive airway felt necessary
    oropharynx or nasopharynx, nasal hairs soot/singed nasal hairs, change in voice, OR
    intact, low likelihood of airway carbonaceous sputum, increased work of Any combination of the following: Airway
    involvement breathing/tachypnea. edema, stridor, presence of soot/singed
    nasal hairs, change in voice, carbonaceous
    sputum, increased work of breathing/
    tachypnea.
    Monitor and reassess
    If oxygen saturation ≥ 92% E Apply Oxygen to maintain goal
    Routine Medical Care SpO2 > 92% Airway Field Procedure
    if indicated
    Cardiac monitor

    CO‐oximetry (SpCO), if available


    Trauma  Monitor and reassess
    if indicated P Consider, 12‐Lead ECG E High flow Oxygen
    Consider, 2 IV/IO sites Regardless of SpO2
    Pain 
    if indicated Cardiac monitor
    Consider, Albuterol
    Burn Consider, 12‐Lead ECG
    if indicated
    Consider, 2 IV/IO sites
    Carbon Monoxide/ Notify burn center.  P
    Cynaide Consider Base Hospital  Albuterol
    if indicated for medical direction Epinephrine 1:1,000 nebulized
    for stridor
    Hazmat 
    if indicated CPAP

    Hypotension 
    if indicated
    Closest receiving facility 
    Exit to Eye Injury  for definitive airway. 
    if indicated Consider Base Hospital 
    for medical direction

    Treatment Protocol R07


    Page 1 of 2
    Effective November 2018
    Effective October 2019
    San Mateo County Emergency Medical Services

    Smoke Inhalation Injury


    For patients with smoke inhalation

    Pearls
    • Ensure patient is properly decontaminated before placing in ambulance and transport to hospital.
    • Contact Hazmat or Poison Control Center with questions about chemical or guidance on immediate treatment.
    • If able, obtain the name of chemical(s) patient was exposed to pass information along to receiving hospital staff.
    • If able, remove patient’s clothing before placing in ambulance and transport to hospital.

    Treatment Protocol R07


    Page 2 of 2
    Effective November 2018
    Effective October 2019

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