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8153 Pediatrics

A 2-year-old unresponsive child came to casualty with history of fall from a height. On examination, he is responsive to verbal stimuli intermittently, respiratory rate is 30 per min, pulse 130 per min, spO2 is 94% and BP is 104/60 mm Hg. What should be the next step of management?

AObserve the child carefully and shift if necessary
BTransfer immediately to a tertiary center for CT brain and further management
CStart oxygen by face mask, immobilize cervical spine and transfer to a tertiary center accompanied by doctor (Correct Answer)
DStart oxygen by face mask and give mannitol