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In burns >30% TBSA there is potential for swelling of the soft tissues of the oropharynx and subcutaneous oedema in the face and neck. burns greater than 30% TBSA carboxyhaemoglobin levels greater than 10%.a score of 8 or less on the Glasgow Coma Scale (impaired mental status) facial burns.Clinical features suggesting that tracheal intubation is likely to be needed are: Tracheal intubation may be required if the patient is unable to protect their airway. Assessment and Treatment in the ED Airway AssessmentĪlways remember to stabilise the cervical spine if there is any suggestion of cervical injury.įeatures of an airway burn may include upper airway swelling, inhalational injury and carbon monoxide poisoning. The factors that decrease wound infection rate and mortality are resuscitation without fluid overload, securing the airway, and prompt debridement and grafting of the burn. The percentage total body surface area burn (TBSA) is the best predictor of time off work for adults. Only 37% of burned patients return to their same job. Most injuries occur in the home, particularly children with scalds and adults injured by direct flame burns. The highest death rates are in children younger than 5 years and adults older than 65 years. Anaesthetists are involved in resuscitation in the Emergency Department (ED), the operating room, the intensive care unit and during pain consultations.