Subarachnoid hemorrhage Quiz: Ace Your Exams
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A 34-year-old man is brought to the emergency department by ambulance for evaluation of altered mental status. He was working on a construction site when he fell approximately 15 feet from a ladder, landing on his back. His coworkers found him unresponsive and immediately called 9-1-1. Emergency medical services arrived soon after. Glascow coma scale score was 7, and he was intubated in the field. He has no known past medical history and takes no medication. Temperature is 37.0°C (98.6°F), pulse is 50/min, respirations are 10/min and irregular, and blood pressure is 156/66 mmHg. On examination, he does not open his eyes, nor does he spontaneously move, he does withdraw to pain. Abrasions are noted on the occiput. Which of the following is the most appropriate next step in management?
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