At an industrial complex, a young male was struck in the head by a large piece of steel thrown from a grinding machine. Assessment reveals a soft, painful depression underlying a tear in his scalp, which is covered with dried blood. There is also clear fluid coming from his right ear. He is conscious but confused and exhibits the following vital signs: pulse 84, respirations 16, blood pressure 142/76, and SpO₂ 92%. Emergency Medical Responders are on scene and are maintaining in-line manual stabilization of the cervical spine. What instruction would indicate the next step needed in this patient's care?

Question

Quizplus · Accepted Answer

The presence of clear fluid coming from the ear suggests a basilar skull fracture, which can lead to brain injury. The patient's SpO₂ is 92%, indicating he is not getting enough oxygen, so administering supplemental oxygen is the correct next step to ensure adequate oxygenation. Packing the ear or applying direct pressure could worsen his condition, and checking the fluid for glucose, while potentially diagnostic, is not an immediate priority in the field.

At an Industrial Complex, a Young Male Was Struck in the Head