A 35-year-old man is brought to the emergency department after | Uworld | Step 2ck

A 35-year-old man is brought to the emergency department after being involved in a motor vehicle collision. He is unconscious. Blood pressure is 100/50 mm Hg, pulse is 100/min, and respirations are 19/min. Examination shows bilaterally reactive and nondilated pupils. He does not follow commands and makes inappropriate sounds. A CT scan of the head shows numerous minute punctate hemorrhages with blurring of the graywhite matter interface.