You are managing an 81-year-old male who presents to your Emergency Department by ambulance after his wife witnessed her husband take a ground-level fall while he was taking out the trash.

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You are managing an 81-year-old male who presents to your Emergency Department by ambulance after his wife witnessed her husband take a ground-level fall while he was taking out the trash. He was immediately unconscious after falling backward and hitting his head and has not responded to commands in the ambulance or in the ED as he arrives. It was felt that he needed rapid sequence intubation given his history and Glasgow coma scale so that he could have an urgent head CT completed.

HX: Type 2 Diabetes Mellitus
Hyperlipidemia
Social HX: Lifetime nonsmoker
No ETOH or recreational drug use
Lives with wife. Retired. Typically walks 5 miles a day. Independent in his activities of daily living.
Medications: Tylenol 500mg po every 6 hours as needed
Metformin (Glucophage) 500mg po daily
Atorvastatin (Lipitor) 20mg po daily
Allergies: Penicillin (rash)
Exam
Vitals:
Pulse 97
Resp 18
BP 179/88
SpO2 97%
Temp 37.0 °C (98.6 °F)
Wt. 85kg
Ht. 6’0

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