Scenario
An 80 year old man on home oxygen therapy presents following a minor fire in his home.
Question
a. Describe and interpret his photograph. (30%) b. Outline your management of this man. (70%)
Answer
FACEM VAQ Exam 2007.2 – Question 7
- Photograph showed superficial partial thickness burns of the face with singed eyebrows and carbonaceous material around the mouth and nose.
- Overall pass rate for this question was 52/77 (67.5%).
- The image was reasonably discussed by most candidates. Management required a good general approach to facial burns including awareness of airway injury, assessment of all local structures, analgesia, eye care, immunization, assessment of home circumstances etc in the longer term
- Poor answers tended to suggest immediate intubation at the expense of dealing with all the issue arising


















