A 5-month-old baby, weighing 5 kg, had been brought into A&E following a fire at a beauty parlour that was precipitated by an acetone explosion. He was an ex-premature baby, born at 31 weeks gestational age, and ventilated for a short time post delivery. No further medical history was available at the time of admission to A&E because both his parents were in the fire and were admitted as patients to A&E with severe burns requiring intubation and ventilation. At the time of referral, the baby had been in A&E for 50 minutes. He was self-ventilating in air, saturating 100%, with a respiratory rate of 45. He was alert, active, distressed, crying and tachycardic. No blood pressure had been performed. Pupils were equal and reactive to light.