In trauma care, how would you approach a patient with a suspected head injury presenting with a clear fluid leak from the nose?

In cases of suspected head injury accompanied by a clear fluid leak from the nose, the presence of this fluid strongly raises the possibility of cerebrospinal fluid (CSF) leakage. This is particularly relevant following trauma to the skull, which may indicate a skull fracture or other serious injury. The clear drainage is often indicative of CSF because it typically has a watery appearance and may separate into different layers when collected.

The approach to a suspected CSF leak involves avoiding any manipulation of the nasal passages, such as inserting objects or packing material, as this can potentially lead to further complications or infection. Ensuring the patient is stable and maintaining a clear airway are also priorities, while focusing on observing and documenting the characteristics of the fluid can aid in further evaluation by medical professionals.

The other options do not provide an appropriate response to the situation. Monitoring the leak or applying a bandage would do little to address the underlying issue and could lead to exacerbation of any potential injury. Administering pain medication is not the immediate priority without further assessment of the patient's overall condition and may mask symptoms that are important for determining treatment options. Performing a CT scan is critical for diagnosis but should be part of a systematic approach that includes stabilization and further assessment rather than an immediate