Version June 2024
| Fire on the patient | Fire in the airway | Subsequent patient management |
| Stop flow of all airway gases if the patient is awake and spontaneously breathing. If the patient is intubated, ventilate with room air. | Immediately remove the endotracheal tube and stop flow of all airway gases. | Perform a thorough assessment for burn injuries, including the entire posterior as well as anterior body surface areas. |
| Remove all drapes and burning material to the floor. | After extinguishing the fire, pour water or saline into the patient's airway. | Apply a dry sterile dressing to injured areas. Initially, no ointments or salves should be applied. |
| Extinguish small fires by patting with moist towels or sponges. | Reestablish ventilation, preferably with room air. | Assess the airway if an airway fire or a fire around the patient's face or neck has occurred. |
| Pour water or saline on any hot spots immediately. | Check upper and lower airway for debris and injury. | Assess the patient and all OR personnel for smoke inhalation. Many plastic products can give off toxic byproducts (eg, cyanide, phosgene, carbon monoxide). Patients may develop delayed respiratory distress. |
| Remove drapes even if fire is immediately extinguished to assess for smoldering elements and flames. | Assess entire body and upper and lower airway for injury. | Transfer patients who meet the American Burn Association criteria for major burns to a burn center (eg, inhalation injury; full thickness burns >10% TBSA; burns involving eyes, ears, face, hands, feet, or perineum; chemical or electrical burns). |
| Use a fire extinguisher if the fire is not immediately extinguished or if the drapes continue to burn. | ||
| Initiate the RACE protocol if fire persists: | ||
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آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
