When managing a patient who has fallen and is complaining of severe headaches, what should you assess first?

Assessing the neurological status of a patient who has fallen and is complaining of severe headaches is crucial because it can provide immediate information about potential traumatic brain injury. Severe headaches following a fall can indicate significant intracranial injuries, such as concussions or hemorrhages. By evaluating neurological status, you can assess the patient's level of consciousness, pupil reactivity, motor responses, and any signs of neurological deficits, which are critical for determining the severity of the injury and the need for further intervention.

Understanding the neurological status is essential in guiding the treatment and transportation decisions. If there are any concerning neurological findings, this information should be communicated promptly to the receiving medical facility for appropriate and urgent care. This assessment helps prioritize immediate care needs and ensures that any life-threatening conditions are addressed as soon as possible.

While vital signs, mechanism of injury, and the presence of external bleeding are important aspects of a full assessment, understanding the neurological status takes precedence in this scenario due to the direct implications it has on the potential for serious underlying issues after a head injury.