Abstract

An 80 year old male restrained driver was involved in a motor vehicle collision when his vehicle struck a tree. The patient was transported to a level 1 trauma center. He was alert and able to follow commands. He gave a past history of hypertension and hypothyroidism. His medications included dilantin and thyroxine but he could not recall the names of the blood pressure medications. The initial vital signs were as follows: Blood pressure – 145/85, Pulse – 73, Respiration -20. The oxygen saturation was 92%. The Glasgow coma Scale score was 15.

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