Free BCEN Certified Flight Registered Nurse (CFRN) Practice Question

The best initial step in managing a pediatric patient with signs of increased intracranial pressure and a low GCS score is to secure the airway and ensure adequate oxygenation. A GCS of 6 indicates severe head trauma and potential airway compromise. Rapid sequence induction (RSI) and intubation will protect the airway, optimize oxygenation, and assist in controlling ICP. Administering mannitol or hypertonic saline can help reduce ICP, but they do not address the immediate need for airway protection and oxygenation. Performing needle decompression is indicated for tension pneumothorax, not for cases of increased ICP.