Question

man was struck in the side of the head with a steel pipe. Blood-tinged fluid is draining from the ear and bruising appears behind the ear. The MOST appropriate treatment for this patient includes: A) elevating the lower extremities and providing immediate transport. B) applying high-flow oxygen and packing the ear with sterile gauze pads. C) controlling the drainage from the ear and immobilizing the entire spine. D) immobilizing the spine, administering oxygen, and monitoring for vomiting.

Answer 1

The right treatment in this case would consist of immobilizing the spine, administering oxygen, and monitoring for potential vomiting. These steps are critical to manage possible hematoma and to maintain necessary oxygen supply to the brain.

Step-by-step explanation:

The most appropriate treatment for this patient includes: D) immobilizing the spine, administering oxygen, and monitoring for vomiting.

The symptoms suggest a possible hematoma due to a strike to the lateral side of the head, potentially fracturing the bones of the pterion. The pterion is a vital clinical landmark, and an impact on this region can damage a significant skull-supplying artery. If left untreated, the accumulation of blood exerts increased pressure on the brain, which must be closely monitored.

Therefore, observing the spine (since trauma to the head can be accompanied by neck injury) .

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