During a head injury assessment, what finding would necessitate immediate transport?

Pupil dilation is a critical finding during a head injury assessment that necessitates immediate transport. This condition may indicate increased intracranial pressure or potential brain injury, especially if it is unilateral (dilated pupil on one side). Such changes in pupil size can reflect significant neurological compromise, which puts the patient at higher risk for serious complications. Immediate transport is essential to ensure that the patient receives advanced medical care and intervention as quickly as possible, as timely treatment can be crucial in preventing further neurological damage.

In contrast, while consciousness, minor bleeding, and headaches are important findings to assess, they may not indicate the same level of urgency as pupil dilation. Consciousness could show variability in level of alertness but does not alone mean urgent care is needed. Minor bleeding may be monitored with transport, especially in a controlled manner. A headache post-injury is also a common symptom and may require evaluation, yet it is not an immediate indicator of severe injury like significant pupil changes are.