Airway Fire

🔑 Key Priorities

  • Immediately stop oxygen delivery and extinguish fire

  • Minimise injury and assess for airway trauma


🧠 Team Actions

Role

Task

Team Leader

Declare fire emergency, direct oxygen stop & extinguish

Airway Operator

Remove ETT, extinguish burning material

Assistant

Flush airway, re-intubate if needed

Recorder

Document timing, actions, and communication


🧭 Management Algorithm

  1. Stop volatile agents and oxygen delivery IMMEDIATELY

  2. Disconnect circuit and remove burning material/ETT

  3. Extinguish fire using saline or wet gauze

  4. Re-establish ventilation with 100% Oâ‚‚ when safe

  5. Re-intubate if possible using new ETT

  6. Bronchoscopy to assess thermal injury

  7. Consider ICU referral for surveillance of airway oedema


🔄 Ideal Crisis Flow

             Suspected Airway Fire
                     ↓
     Stop Oxygen + Remove Flammable Source
                     ↓
         Extinguish with Saline or Gauze
                     ↓
        Re-oxygenate Safely + Re-intubate
                     ↓
         Bronchoscopy + ICU Referral if Needed

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