What is the management of suspected inhalation injury when stridor develops?

• A. Prepare for early airway management with rapid sequence intubation; suction secretions; provide humidified O2; secure airway in controlled setting.
• B. Wait and observe without airway intervention.
• C. Only give bronchodilators and discharge.
• D. Delays in airway management until deterioration.

Answer: (A)

When inhalation injury is suspected and stridor appears, the airway is at imminent risk from swelling and secretions. The best approach is to secure the airway early with rapid sequence intubation so protection is established before complete obstruction occurs. Suctioning secretions and any debris helps clear the airway and improves patency, while humidified oxygen supports mucosal hydration and better oxygen delivery in a swollen airway. Performing these steps in a controlled setting, with experienced personnel and full preparation for a difficult airway, minimizes the chance of a crisis during intubation and allows immediate escalation if needed. Delaying airway management or relying on bronchodilators without securing the airway does not address the obstruction and observation alone risks sudden deterioration.