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Multiple Choice

Which of the following is a sign or symptom of a head injury with suspected intracranial bleeding?

Altered mental status shows the brain isn’t working normally after a head injury, which can be caused by bleeding inside the skull. Confusion indicates intracranial irritation or damage from elevated pressure, making it the most concerning sign among the options. Nausea can occur with increased pressure but isn’t as specific to brain bleeding and can have many other causes. Bruising of the scalp is an external sign of head trauma and doesn’t confirm bleeding inside the skull, though it can accompany a serious injury. Dry mouth isn’t a typical sign of intracranial bleeding. In practice, any head injury with confusion should be treated as a potential intracranial bleed: monitor level of consciousness, maintain airway and breathing, control the scene, and transport promptly for further evaluation.

Altered mental status shows the brain isn’t working normally after a head injury, which can be caused by bleeding inside the skull. Confusion indicates intracranial irritation or damage from elevated pressure, making it the most concerning sign among the options. Nausea can occur with increased pressure but isn’t as specific to brain bleeding and can have many other causes. Bruising of the scalp is an external sign of head trauma and doesn’t confirm bleeding inside the skull, though it can accompany a serious injury. Dry mouth isn’t a typical sign of intracranial bleeding.

In practice, any head injury with confusion should be treated as a potential intracranial bleed: monitor level of consciousness, maintain airway and breathing, control the scene, and transport promptly for further evaluation.