When assessing a 92-year-old female with large hematomas and low blood pressure after a fall, what is the initial action before transport?

In this scenario, the initial priority before transport is to manage the patient’s immediate needs and ensure her safety, particularly in light of the significant hematomas and low blood pressure. Performing a detailed physical exam and bandaging any visible wounds (such as those on the head) is critical. This helps to identify any additional injuries and provides necessary care to stabilize her condition.

The assessment allows for understanding the full extent of her injuries and whether there are any life-threatening conditions that require urgent intervention. Bandaging the head would be particularly crucial if there is active bleeding, as it controls blood loss and can help prevent further complications.

While administering intravenous fluids could be important in treating low blood pressure, this action typically follows a thorough assessment. Starting oxygen therapy is certainly useful if there are signs of respiratory distress, but again, it comes after ensuring the overall physical status is understood. Placing her in a recovery position can help maintain an open airway but is usually implemented after checking for spinal injuries or assessing the level of consciousness.

Therefore, the correct initial action focuses on thorough assessment and immediate care of visible injuries, ensuring the patient is as stable as possible before moving or transporting her.