Shock is a killer in serious injuries such as this.
Open head injuries are a big problem because they bleed a lot. How do you stop the bleeding? You can't use direct pressure or pressure points or put a tourniquet around the neck. So you have to keep adding layers of packing and hope a clot will form.
Then you have to attend to basic life support - keeping the airway clear, observing how the patient is breathing, and assisting with respiration if it is necessary. The patient will need an IV to start replacing fluids and to counteract shock.
Those are the immediate priorities, although many more will become necessary as the patient's condition changes. Patients with open head injuries are usually treated in a Neurological Intensive Care Unit.
let think it has something to do with an open head i wonder what that means maybe it means that his head is open bleeding and serious
when you suspect that there maybe a possible head/neck injury, just to the jaw thrust, not the head-tilt-chin-lift thing. if ever there's a neck injury, it's better prioritize your patient's airway first rather than the neck injury.
A closed head injury is a trauma in which the brain is injured as a result of a blow to the head, or a sudden, violent motion that causes the brain to knock against the skull. It is different from an open head injury, in that nothing actually penetrates the brain.
Assess pain, infection
There are many and include: open head Injury, closed head injury, deceleration injuries, falls, chemical or toxic exposure, hypoxia (low oxygen), tumors, infections and stroke.
Head tilt Chin Lift Maneuver Unless you suspect a Head Neck Injury then do Jaw Thrust Maneuver.
Use the head tilt chin lift
(see the related question below) Where there is no suspected cervical (neck) injury, the way to open the airway is by use the head tilt-chin lift. Tilt the victims head back with a hand on their forehead and two fingers under their chin, so that the tongue wont get in the way There are two separate types of victims: 1. a 'Medical' patient - i.e. heart attack, stroke, seizure, diabetic. 2. a 'Trauma' patient - i.e. signs of injury, (bleeding, breaks, burns, bites, poisoning. 1. To open the airway of a 'Medical' patient, tilt the head back with the palm of one hand and with the other lift the bony part of the chin, (the mandible should be vertical). - This is called the 'Head Tilt, Chin Lift'. 2. To open the airway of a 'Trauma' patient, sit behind the patients head, place your thumbs on the maxilla bones, (cheek bones), place your index fingers below the ear lobe onto the hinge of the mandible ,(jaw bone), and lift the mandible upward without moving the head - This is called the 'Jaw Thrust Maneuver.
If there is no other chest or abdominal injury, and the patient is awake and conscious there is no need to worry about the airway
rest your elbows on the same surface on which the patient is lying
Patients with a decreased level of consciousness due to a head injury should be clinically evaluated in order to decide whether they require advanced airway management. If they do need to be intubated, this should be done via Rapid Sequence Intubation as intubation with sedation only is associated with a worse outcome. If RSI is not available strongly consider transporting the patient in the lateral position with a high-flow oxygen mask in place to a facility that can perform RSI.
rest your elbows on the same surface on which the patient is lying