Rural Trauma with Fall from Height

You are the visiting anaesthetist in a small rural town where you work once a month with a visiting urologist. You receive a telephone call from a nurse in the Emergency Department asking if you could come and assist the GP anaesthetist. The ambulance service have just brought in a 25-year-old man who fell from the roof of a farm shed, where he had been sitting and drinking with friends. The GP anaesthetist intubated the patient on arrival to hospital because of reduced Glasgow Coma Scale (GCS) score and is requesting your assistance with ongoing management.