What is the first priority when managing a head injury?

Maintaining airway patency is the first priority when managing a head injury because any alterations in consciousness or neurological function can compromise the airway. Patients with head injuries may exhibit confusion, decreased responsiveness, or even loss of consciousness, which increases the risk of airway obstruction. If the airway is not maintained, the patient may be unable to breathe adequately, leading to hypoxia and further brain injury. Ensuring that the airway is clear and functional allows for proper ventilation and oxygenation, which are critical for survival.

While controlling bleeding, assessing neurological function, and administering pain relief are also important aspects of managing head injuries, they come after ensuring that the airway is secure. A compromised airway poses an immediate and serious threat to life, so it must be prioritized.