Emergency Department Management of Smoke Inhalation Injury in Adults (Trauma CME)

Emergency Department Management of Smoke Inhalation Injury in Adults (Trauma CME) is organized by EB Medicine.

Date of Original Release: March 1, 2018
Date of most recent review: February 10, 2018
Termination date: March 1, 2021
CME Expiration Date: March 31, 2021

Target Audience:
This enduring online cme material is outlined for emergency medicine physicians, physician assistants, nurse practitioners, and residents.

CME Credits:
This issue includes 4 AMA PRA Category 1 Credits™; 4 ACEP Category I credits; 4 AAFP Prescribed credits; and 4 AOA Category 2 A or 2B CME credits. Incorporated as part of the 4 credits, this CME activity is acceptable for 4 Trauma CME credits, subject to your state and institutional approval.

Description:
When treating patients who have suffered an injury in a fire, controlling their airway is as critical as treating their burns. Following on the February 2018 issue on Thermal Burns, this issue reviews strategies for diagnosing and treating inhalation injuries in fire-exposed patients.
• How is inhalation injury severity measured?
• What are the distinctions between the injury to the upper airway, the lower airway, and the systemic consequences of intoxication?
• What are the indications of carbon monoxide and cyanide poisoning, and what are the best treatments?
• What kind of diagnostic tests should be done, and what will they tell you?
• Blood gas, CO-oximetry, pulse oximetry, and pulse CO-oximetry: when should they be employed and when might they be falsely normal?
• What are the advantages and limitations of CT, bronchoscopy, and laryngoscopy?
• Are prophylactic antibiotics warranted to prevent pneumonia?
• What are the optimal methods of airway management when edema and airway obstruction is a threat?

CME Objectives:
Upon completion of this article, you should be able to:
• Diagnose and analyze smoke inhalation injuries.
• Identify and treat carbon monoxide and cyanide toxicity.
• Recognize indications for intubation following smoke inhalation.
• Start and monitor ventilation strategies and adjunctive therapies.