A 50-year-old woman fell backward from a kitchen step stoo…
A 50-year-old woman fell backward from a kitchen step stool, striking her head on the tile floor. She opens her eyes to voice command, but her words are garbled and do not make sense. She does not follow commands but is able to localize painful stimuli. Her skin is warm and moist with normal color. There is a hematoma on the occipital area of the head. The right pupil is about 3 mm larger in diameter than the left and reacts more slowly to light. Vital signs are heart rate, 72 beats per minute; blood pressure, 132/82 mmHg; respiratory rate, 12 breaths per minute; and SpO2 97 percent on room air. Which treatment plan is most appropriate for this patient?
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