A flight nurse is called to transport a 7-year-old child who has sustained a significant head injury after falling from a tree. Which of the following interventions is the BEST initial action to prevent secondary brain injury during transport?
Administer intravenous fluids to prevent hypovolemia and maintain blood pressure.
Ensure the airway is patent and administer supplemental oxygen to maintain adequate oxygenation.
Place the child in a Trendelenburg position to enhance cerebral perfusion.
Request immediate administration of corticosteroids to reduce cerebral edema.
Managing airway and ensuring adequate oxygenation is critical in preventing secondary brain injury in pediatric patients with head trauma. Hypoxia can exacerbate cerebral edema and increase intracranial pressure, leading to further neurological damage. Maintaining proper ventilation and oxygenation should be prioritized over other interventions such as fluid administration or ICP monitoring.
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