unusual case

[daniel simon]

43 year old motorcycle crash victim , on scene intubation for GCS of 5. On
admission intubated and ventilated, B.P 130/80 P 82 sat 100% , GCS 7 (T) .
PE: skin lacerations and  central hematoma anterior neck - zone 1.
Head CT - SAH, Frontal contusions,small Frontal SDH, many skull fractures.
C-spine:  fracture of C1
Chest XR and relevant cuts from the chest  CTA included.
Abdominal CT normal
What would you do now?
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