What should the AEMT do if a patient with a suspected head injury shows signs of Cushing's triad?

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In a patient with a suspected head injury exhibiting signs of Cushing's triad—characterized by hypertension, bradycardia, and irregular respirations—the appropriate course of action is to prepare for rapid transport and closely monitor vital signs. This triad indicates increased intracranial pressure and represents a medical emergency that requires immediate attention and intervention.

Rapid transport ensures that the patient can receive definitive care as soon as possible, typically involving imaging studies and possible surgical intervention. During this time, constant monitoring of vital signs is crucial. Changes in blood pressure, heart rate, or respiratory status can indicate a deterioration of the patient's condition, necessitating prompt action.

While administering pain relief, providing controlled ventilation, and frequent neurological assessments are part of comprehensive patient care, they do not directly address the acute nature of increased intracranial pressure indicated by Cushing's triad. Therefore, focusing on rapid transport and ongoing vital sign monitoring is the most critical step in managing the patient's condition effectively.

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