Pediatrics

Fire: Airway

Diagnosis

Fire: Airway

Diagnosis

Fire: Airway

  1. Simultaneously:

    • Disconnect circuit from tracheal tube then remove tracheal tube
    • Stop all gas flow (O2, N2O)
    • Remove sponges and other flammable materials from airway
    • Pour saline into airway

  2. Re-intubate and re-establish ventilation

    • If intubation difficult, don’t hesitate to obtain surgical airway

  3. Consider bronchoscopy to assess for thermal injury

    • Look for tracheal tube fragments
    • Remove residual material

  4. Impound all equipment and supplies for later inspection

  5. Maintain ventilation. Assess for inhalation injury

  6. Consider input from ENT, pulmonary, plastic surgery

  7. Consider PICU

  8. If fire not self-contained, shut off gases to affected OR

    • Verify gases are not shut off to adjacent rooms

Patient weight

Between 0.5 kg and 120 kg

Reset the checklist?

Checked steps, the timer and this crisis log are cleared. The patient’s weight is kept.

Finish the crisis?

The timer pauses, and you can review the case and the event log.