In the case of an unconscious male with head trauma, what is the next step if bloody secretions are present?

In the scenario where an unconscious male has head trauma and presents with bloody secretions, the priority is to secure the airway and ensure adequate ventilation. The presence of blood can obstruct the airway, leading to potential aspiration or further airway compromise. Suctioning the oropharynx for up to 15 seconds is the appropriate action to remove any secretions, including blood, that could interfere with breathing.

By clearing the airway through suctioning, the EMT can help facilitate better ventilation and prevent complications that may arise from the accumulation of blood in the airway. This immediate intervention is critical for maintaining a patent airway, allowing for effective ventilation either spontaneously or through assisted methods if needed later.

Ensuring the airway is clear takes precedence over other actions such as packing the nostrils or transporting the patient, as those could prolong the risk of airway obstruction. Likewise, while immobilizing the spine is essential given the head trauma, it should not be the first step when there is an immediate airway concern. Thus, suctioning is the most effective choice to manage the bloody secretions and protect the patient’s airway.