If a patient has several contusions and a hematoma on their head after falling, what is the best initial treatment?

The most appropriate initial treatment for a patient who has sustained head contusions and a hematoma following a fall is to apply a cold compress. Cold therapy helps to reduce swelling and minimize the pain associated with contusions and hematomas. It constricts blood vessels, which can decrease blood flow to the injured area, reducing swelling and discomfort.

Elevating the leg, while not directly related to the head injuries, can support general circulation in the body and may be part of a broader approach to help the patient feel more comfortable. However, the primary focus should be on managing the head injury by applying a cold compress to the head area. This treatment is crucial in the early stages after the injury to mitigate potential complications.

Using heat is inappropriate in the acute phase of contusions as it can encourage swelling. Performing CPR would only be necessary if the patient is unresponsive or not breathing, which is not indicated in this case. Leaving the patient alone to rest does not address the immediate needs following a head injury and could lead to worsening conditions if monitoring and symptomatic relief are not provided.