How should you respond to a patient with sudden vision changes or severe headache after head trauma?

• A. Move the patient to a different seat.
• B. Reassure the patient and wait for symptoms to improve.
• C. Administer over-the-counter pain relief only.
• D. Treat as potential neurological emergency; call EMS and monitor.

Answer: (D)

Sudden vision changes or a severe headache after head trauma signals a possible brain injury and warrants immediate action. These symptoms can reflect bleeding, swelling, or other intracranial problems that may worsen rapidly, so you respond as if it’s a neurological emergency. The best course is to call EMS right away so trained responders can assess airway, breathing, and circulation and provide advanced care as needed. While waiting for help, stay with the person, keep them still and comfortable, and monitor their level of responsiveness, breathing, and any changes in pupil size or new symptoms. Do not give pain meds or anything by mouth if there’s vomiting or risk of aspiration, and avoid moving them unnecessarily or attempting to drive them to a hospital yourself. Let professionals take over as soon as they arrive.