A. Obtain chest x-ray. B. Consider bronchoscopy, looking for erythema of the airway and soot deposition in the trachea and bronchi. If there is any question about smoke inhalation, intubate the patient and place them on positive pressure ventilation. Carbon monoxide poisoning 1. B. Consider calling nearest possible facility with hyperbaric chamber.
Assess breath sounds and obtain a chest x-ray.
Treat according to the chest injury guidelines. Assess for shock and treat accordingly. Insert two large bore IV's. These may be placed peripherally or centrally. It is OK to place the IVs through eschar if it is the only access site.