NREMT Paramedic Practice

What is the primary action for the management of hematoma associated with head injuries?

1. Promoting blood coagulation

2. Immediate surgical intervention

3. Monitoring for changes in consciousness

4. Application of ice to reduce swelling

The correct answer is: Monitoring for changes in consciousness

The primary action for managing hematoma associated with head injuries centers on monitoring for changes in consciousness. This approach is crucial because hematomas in the head can lead to increased intracranial pressure and subsequent neurological deterioration. Regular assessments of a patient's level of consciousness can help detect any deterioration promptly, allowing for timely interventions that may be necessary to address worsening conditions or complications. In cases of head injuries, while promoting blood coagulation, surgical intervention, or applying ice may have their roles, they are not the primary focus in the initial management. Coagulation management does not directly address the implications of increasing intracranial pressure, surgical intervention may not be immediately necessary, and ice application is not a definitive treatment method for hematomas. Prioritizing the monitoring of consciousness allows for early recognition of any serious changes that could indicate the need for more aggressive therapy or surgical evaluation, thereby improving patient outcomes.