Review Question - QID 209021

A 54-year-old male is brought to the emergency department by fire and rescue following a skiing accident. His wife reports that the patient lost control of his skis and collided into a tree. He lost consciousness for about 30 seconds. When he woke up, he was mildly confused but able to ski down the rest of the mountain. The patient initially denied medical treatment, but his wife convinced him to be taken by ambulance to the emergency department for evaluation. The paramedics report that at the scene the patient had a Glascow Coma Score (GCS) of 15. During the ride, he became gradually more somnolent. His past medical history is significant for hypertension, hyperlipidemia, coronary artery disease, and prior transient ischemic attack (TIA). His home medications include atorvastatin and lisinopril. In the emergency department, his temperature is 97.8°F (36.6°C), blood pressure is 141/84 mmHg, pulse is 71/min, and respirations are 16/min. He is difficult to arouse with a GCS of 7. A head CT is performed and can be seen in Figure A.
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