He is coughing black sputum. What is the single most appropriate immediate management?

A 20-year-old man’s house caught fire. He has blisters and peeling of the skin. He is coughing black sputum. What is the single most appropriate immediate management?

a. Arrange chest X-ray
b. Applying dressing on the face
c. IM analgesia
d. Transfer to burn unit
e. Establish a definitive airway.

Ans. The key is E. Establish a definitive airway. [Coughing black sputum (soot in RTI) indicate inhalation injury and if a burn patient has inhalation injury immediate measurement to be taken is establish a definitive airway