Question

A patient comes to the ER after a car accident and has a bruise behind their ear. The nurse notes clear fluid coming out of the nose and finds there is a positive halo sign. How would you manage this condition? (do's and don't)

Answer 1

The management of a patient with a bruise behind the ear, clear fluid from the nose, and a positive halo sign should involve prompt medical intervention and evaluation for a basilar skull fracture.

Step-by-step explanation:

Management of the condition:

The symptoms of a bruise behind the ear, clear fluid from the nose, and a positive halo sign are concerning for a basilar skull fracture. It is important to manage this condition promptly to prevent complications.

Do's:

• Stabilize the patient and provide initial trauma care.
• Administer oxygen to maintain proper breathing.
• Control any bleeding.
• Secure the patient's airway and provide respiratory support if needed.
• Evaluate the patient's neurological status and monitor for any changes.
• Order diagnostic tests, such as a CT scan or X-rays, to confirm the diagnosis.
• Consult a neurosurgeon or maxillofacial surgeon for further evaluation and treatment.

Don'ts:

• Do not try to manage this condition on your own without proper medical expertise.
• Do not delay in obtaining appropriate medical help.
• Do not apply pressure to the area of the bruise behind the ear, as it may worsen the injury.