A 48-year-old man was an unrestrained driver who fell asleep at the wheel while driving on a highway. His car struck the highway divider resulting in a vehicle rollover and he was ejected from the vehicle. Physical Examination: He was evaluated in the emergency department (ED), and the following injuries were identified by CT imaging: Bi-frontal cerebral contusions Facial fractures Left-sided rib fractures Left pulmonary contusion Nondisplaced bilateral pubic rami fracture Left mid-shaft femur fracture Grade 2 splenic laceration. In the ED, the patient received 2 L of crystalloid and had a blood pressure of 100/80 mm Hg, the pulse of 98 beats/minute, respiratory rate of 24 breaths/minute, and GCS of 13.
He is transferred to the ICU for monitoring and further care. How should this patient be monitored? What are the priorities in the management of this patient? *This case is from…
