A 22-year-old male, unconscious after a motor vehicle collision, is being cared for by a BLS crew. He is fully immobilized, and ventilations are being provided by bag-valve-mask with an oropharyngeal airway in place. Witnesses report that the patient's vehicle was traveling on the highway at about 55 miles per hour, then swerved for no apparent reason and drove off the shoulder, rolling over once before coming to rest on its wheels. The patient was initially found in the driver's seat with his seat belt on. Physical exam reveals some minor abrasions to the patient's face and shoulders; the airway is clear; the chest, abdomen, extremities, and pelvis are atraumatic; and bilateral breath sounds are clear and equal. The BLS crew is achieving adequate ventilation with the BVM. HR = 112 and regular, BP = 132/90, RR = 12 and regular, blood glucose = 42 mg/dL. Which of the following is the most appropriate initial treatment of this patient?
A) Continue BLS ventilations, cardiac monitor, IV of NS KVO, 50% dextrose IV, reassess.
B) Intubate, initiate transport, cardiac monitor and IV access while en route to trauma center.
C) Continue BLS ventilations, glucagon 0.5 mg IM, reassess.
D) Intubate, cardiac monitor, IV of NS KVO, 50% dextrose IV, reassess.
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