What is the immediate action you should take for a patient who is combative and has sustained a head injury?

For a patient who is combative and has sustained a head injury, taking manual in-line spinal stabilization is crucial as the immediate action. Head injuries can often be associated with potential spinal injuries, especially if the mechanism of injury was significant, such as a fall or a collision. By stabilizing the spine manually, you minimize the risk of exacerbating any potential spinal cord injury while assessing the patient.

Spinal stabilization helps maintain proper alignment of the head and neck to prevent further injury. Any movement could lead to worsening of the condition, especially if the patient is combative and not able to protect their own neck. This foundational step is vital before performing other assessments or interventions that may require the head or neck to be moved.

While assessing vital signs, controlling bleeding, and administering oxygen are important elements of patient care, they should follow the critical stabilization of the spine in this case. Direct intervention to stabilize the patient's position helps ensure their safety and protects against additional injury while you continue to evaluate and manage their overall condition.