What should be the primary concern for a patient rescued from a house fire with singed nasal hairs and coughing up soot?

In a situation where a patient has been rescued from a house fire and exhibits signs like singed nasal hairs and is coughing up soot, the primary concern is the potential for airway swelling. The inhalation of smoke and toxic gases can lead to airway edema, which can rapidly compromise the patient's ability to breathe. The presence of singed nasal hairs is a clear indicator that heat or flames have affected the upper respiratory tract, suggesting a high likelihood of damage and subsequent swelling in the airways.

Addressing airway compromise is critical because obstruction can occur quickly, leading to respiratory distress or failure. Medical personnel must prioritize maintaining a patent airway and monitor the patient's respiratory status closely. Immediate actions may include administering oxygen and preparing for potential intubation if the airway becomes compromised.

While treating for hypothermia, estimating burns, and preventing infection are important considerations in the overall management of burn patients, they are secondary to the immediate and potentially life-threatening issue of airway swelling in this specific scenario.