Author: Hannah Lee Chadwick, Andrew Charlton / Editor: Nick Tilbury / Codes: PhC2, RP8, SLO3 / Published: 15/09/2022

A 34-year-old male is brought to the Emergency Department (ED) after a fire at his home. He was pulled out of the building by the fire service.

He has a GCS of 3 on arrival to ED and is hypotensive despite an initial fluid bolus.

He is intubated on arrival and is ventilated with an FiO2 of 1.0 – peripheral saturations are 99%. 

There is no evidence of external burns on the patient. He is normally fit and well with no regular medications.