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You are working in the emergency department (ED) of a community hospital when the ambulance arrives with

Kassi Lynn, a 15 year old teenager who was involved in a house fire. She was sleeping when the fire started and managed to make her way out of the house through thick smoke. The emergency medical system crew initiated humidified oxygen at 15 L/min per non-rebreather mask and started a 16 gauge IV with lactated ringer's solution. On arrival to the ED her vitals are 100/60, 125, 34, SpO2 93% and she appears anxious and in pain.

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