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A 35 year old man is brought by ambulance after sustaining full thickness burns ...

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A 35 year old man is brought by ambulance after sustaining full thickness burns to his chest and arms in a house fire.  He was trapped for 10 minutes.  On examination, PR 120/min, BP 115/80mmHg, RR 35/min, O2

Sat 87%.  He has noisy breathing on presentation.  Which of the following treatment options is the priority?
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