A 50-year-old man presented to the emergency department (ED) with an alleged history of burns sustained while sleeping in a closed room. On arrival, the primary survey was unremarkable except for a low BP of 80/50 mmHg and hoarseness of voice with the production of sooty sputum. The secondary survey revealed cold, clammy extremities with 60% burns involving the face, torso, and extremities. Over the right lower limb, there were circumferential burns and swelling with absent pulsations. The chest radiograph was normal, and other associated injuries were noted.