You Are Assessing a 37-Year-Old Woman Who Was Rescued from an Apartment

Multiple Choice

You are assessing a 37-year-old woman who was rescued from an apartment fire. She has a harsh, stridorous, "brassy"-sounding cough productive of sooty sputum. Her eyebrows and the hair around her face are singed. Respirations = 28, heart rate = 108, and blood pressure = 124/84. You have a 30-minute transport time. Which of the following is the best intervention for this patient?

A) One hundred percent oxygen by nonrebreather mask
B) Sedation and cricothyrotomy
C) A nebulized albuterol treatment
D) Rapid sequence intubation and endotracheal intubation