ABSTRACT

For each clinical scenario below choose the most likely complication. Each option may be used only once.

1 A 45-year-old woman is brought to A&E after being rescued from a house fire. On examination she has suffered partial-thickness burns to both arms and fullthickness burns to her chest and the soles of her feet. She is distressed and coughs up soot as she asks to see her family. Respiratory rate is 33 /min with poor chest expansion. Pulse oximetry is 94 per cent (15 L O2 through non-rebreathe mask). Auscultation of the chest reveals poor air entry bilaterally with no added sounds.