What is the primary goal when managing an unconscious casualty?

The primary goal when managing an unconscious casualty is to ensure the airway is clear. This is crucial because an unconscious person is at significant risk of airway obstruction due to the loss of protective reflexes, which can lead to aspiration or inadequate oxygenation. When a casualty is unconscious, their tongue may fall back into the throat, obscuring the airway, and they may be unable to respond to environmental stimuli or protect their airway through normal reflexes.

Ensuring a clear airway allows for proper breathing or intervention, which is vital for survival. Once the airway is secured, other steps such as monitoring breathing and stabilizing spinal injuries can be addressed, but the priority is always to prevent obstruction to promote oxygen flow to the brain and other vital organs.