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Oedema Patchy consolidation >evidence suggesting no correlation between changes and outcome Hantson 1997 Blinnett 1988\Z;Z@ZZ;@>8^  Blood gasespACIDOSIS! Capillary pH No COHb Venous CO = compound pH Tougar 1995 No data for initial assessment use ABG pH + COHb 13% in smokers 30% req Rx Pregnancy Rx >45% unconscious 66% (ZCZZ>Z1 < P5( Further investigationsiTracheobronchoscopy Soot Inflammation Technitium scans Radio-aerosol inhalation Homogenous v HeterogenousL336 -  RxgHIGH FLOW O2!!!! Salbutamol neb Other Steriods Mannitol Intubation Mechanical ventilation Hyperbaric O2R&ZBZ @b  & Complications[Respiratory arrest ARDS Atelectasis Infection Tracheitis Bronchitis Bronchiolitis Pneumonia*.Z.Z..>    GuidanceAnd finally& ..JChild protection issues! Child health surveillance Smoke alarms! GP letter&33Thank you& & && . 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