A patient has an inhalation injury from chemical fumes. What is the recommended first-line treatment?

The recommended first-line treatment in the case of an inhalation injury from chemical fumes is to provide supplemental oxygen. Inhalation injuries often lead to damage to the respiratory tract and can result in hypoxia due to impaired gas exchange. By administering supplemental oxygen, you can help to increase the amount of oxygen available in the bloodstream, supporting vital organs and tissues while potentially mitigating the effects of the harmful fumes.

When dealing with inhalation injuries, ensuring adequate oxygenation is paramount because patients can experience respiratory distress or failure as a result of the exposure. Supplemental oxygen can also help reduce the likelihood of further complications associated with hypoxia.

The other choices, while potentially useful in the overall management of the patient, do not address immediate needs as effectively. Administering IV fluids is not a priority in the initial management of inhalation injury, and intubation is usually reserved for cases where the patient exhibits severe respiratory distress, airway compromise, or inability to protect their airway. Monitoring vital signs closely is important but does not directly contribute to the immediate treatment of the inhalation injury itself.