What is the critical first step when dealing with a patient who has extensive burns?

Ensuring that the patient is stable and breathing is crucial when dealing with extensive burns. This step is prioritized because burn patients are at high risk for airway compromise and respiratory distress due to the possibility of smoke inhalation or obstruction caused by swelling. Assessing the patient’s airway, breathing, and circulation (ABCs) is the cornerstone of emergency medical care. If the airway is compromised or breathing is inadequate, the patient could quickly deteriorate. Stabilizing the patient’s vital signs and ensuring adequate oxygenation should always take precedence before any other treatment, such as applying topical ointments or taking notes about the incident. These actions can be addressed after immediate life threats are resolved.