You are working a shift at ABEM General when you receive a call from EMS over the radio for a patient involved in a house fire.

Initial Vitals

  • Temp 99.0
  • HR 150
  • RR 40
  • BP 90/50
  • O2 95%

Critical Actions

  • Administer 8L IVF in first 8 hours
  • Administer supplemental oxygen for CO poisoning
  • Administer TDAP
  • Give hydroxycobalamine for cyanide toxicity
  • Obtain head CT to diagnose SDH

Further Reading:

Cyanide Poisoning (LITFL)

Carbon Monoxide Poisoning (EMCrit)