What is the priority intervention for a patient with burns to the anterior and posterior aspects of both legs and the anterior right arm?

• A. Place an advanced airway
• B. Apply cold packs
• C. Elevate limbs
• D. Start IV antibiotics

Answer: (A)

Airway protection is the immediate priority in a burn patient. Burns, especially when large total body surface area is involved, can lead to rapid swelling of airway tissues and potential inhalation injury, which can progress to airway obstruction and respiratory failure even if the injuries are not on the face. Securing an advanced airway early ensures the patient can be ventilated and oxygenated safely as edema develops and fluids are given during resuscitation.

Cooling the burns or elevating the limbs are helpful supportive measures but do not prevent a life-threatening airway compromise. Starting antibiotics is not an initial goal unless infection is suspected. Prioritizing airway stability sets the foundation for all other treatments.