What is the first step in treating head and brain injuries?

The first step in treating head and brain injuries centers around maintaining a patent airway. In cases of head and brain trauma, there is a significant risk of airway compromise due to altered consciousness, facial injuries, or swelling that can impede breathing. Ensuring that the airway is clear and that the patient can breathe effectively is critical to prevent hypoxia, which can exacerbate brain injury and lead to further complications.

While it's true that one should always assume a cervical spine injury when treating head trauma, this consideration comes into play after securing the airway. The assumption of spinal injury typically involves taking precautions in how to manage the patient's movement, especially during transport. Administering oxygen may be necessary, but it follows after ensuring the airway is functioning properly. Prompt and efficient transport of the patient is vital, yet it must be secondary to addressing immediate life threats, such as those involving the airway. Therefore, the correct prioritization in the treatment of head and brain injuries begins with maintaining a patent airway.