رجل عمره ٤٠ سنة أُنقذ من حريق في شقة مغلقة. عنده شعر أنف محروق، وسخام في الفم، وبحة تزيد خلال الساعة الأخيرة، وكحة. التشبع ٩٦٪، والتنفس ٢٤، وهو واعٍ. ما الأولوية؟

A 40-year-old man was rescued from a fire in a closed flat. He has singed nasal hair, soot in the mouth, hoarseness worsening over the last hour and a cough. SpO2 96%, RR 24, alert. What is the priority?

1. Treating the skin burns first, then assessing breathing
2. Cold water to drink to soothe the throat
3. Reassurance because saturation is normal, plus analgesia
4. Early airway assessment and preparation for intubation

Answer: D) Early airway assessment and preparation for intubation. Smoke and heat inhalation signs warn of rapid upper-airway swelling, and worsening hoarseness is a red flag. Early intubation before obstruction is easier and safer. Oximetry can be falsely normal with carbon monoxide, so 100% oxygen is given.