What is the primary consideration in a burn's initial assessment?

In the initial assessment of a burn, ensuring airway patency is of utmost importance. The airway is the first priority in any emergency situation, including burn injuries, because burns can cause significant swelling, especially if the face or neck is involved. Inhalation injury can also occur if hot air or smoke is inhaled, leading to rapid airway compromise. If the airway becomes obstructed, it can result in hypoxia and life-threatening complications, making it essential to assess and secure the airway before addressing other issues.

While estimating the Total Body Surface Area (TBSA) is important for treatment planning and understanding the severity of the burn, it is secondary to immediately assessing and protecting the airway. Infection control and managing pain levels are also critical components of patient care, but these can be addressed once the airway is confirmed to be open and safe. Thus, safeguarding the airway takes precedence in the context of burn injuries to ensure the patient's survival and stability.