A 44-year-old male presents to the ED via ambulance after a concerned neighbor activated EMS after observing smoke rising from a home roof. The patient was pulled from the front entry at the bottom of a staircase by firefighters who surmise that he fell down the stairs while fleeing from a second-story fire. It is evident that he has left-thigh compartment swelling and burn injury to this extremity as well as to the head, face, and neck. He is mumbling incoherently, and his respiratory rate is 6 breaths per minute.
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