§ Monitor observations including BP (blood pressure) and GCS (level of consciousness according to the Glasgow Coma Scale 1- 15 ) .

§ Notify MO (Medical Officer) immediately if level of consciousness alters.

§ Prepare for intubation if GCS is 8 or less.

§ Maintain BP as advised by MO.

§ Keep patient warm.

§ If there is a rapid deterioration in GCS of 2 or more and/or if one pupil becomes fixed and dilated, this may indicate expanding (intracranial) haemorrhage. Consult MO immediately.

§ Give opioids with caution to patients with head injuries.

§ If the skin is broken, check tetanus vaccination status. Administer tetanus containing vaccine/ immunoglobin as appropriate.

§ Assume all head injuries have an associated neck injury.