b'Specific Burns and ScaldsChapterBurns to the AirwayBurns to the face, mouth and throat are very serious because air passages quickly become inflamed and swollen. Obvious signs of burn injuries are present however airway burns must be considered especially if the injury occurred in a confined area. The patient may have inhaled hot air or gases.There is no specific first aid treatment in extreme cases because swelling may progressively or rapidly obstruct the airway. This results in the risk of suffocation and emergency specialised medical assistance is needed urgently.How to RecogniseThe face is generally blackened by carbon deposits in the nose or mouth.Hair and nasal hair is often singed or burnt.The face and tongue become swollen.The patients voice may be hoarse.Breathing difficulty and coughing.Restlessness, anxiety and agitated state.How to ManageCall Ambulance 000.Assist the patient into fresh air and position sitting andleaning forward because this helps with breathing.Give small sips of cool water.Loosen tight restrictive clothing around the neck, chest and waist.Cold compresses can be applied to the neck area.Keep the patient rested, reassured and comfortable.Closely monitor airway and breathing.If the patient becomes unconscious, place into the recovery position andclosely monitor patient for response, airway, normal breathing while waiting for Ambulance.Be prepared to resuscitate.122 Burns and Scalds'