An orotracheal tube is in place. Intravenous puncture sites are present in the right antecubital fossa and an intravenous line is present in the left antecubital fossa. EKG pasties are present on the right and left wrists. On the dorsal aspect of the left wrist an intravenous line is present. The nasal bone is intact.
Crusted blood is present at the nares.
Hooded congestion is present on the left side of the face. A hematoma is present over the proximal portion of the right third proximal metacarpal. Mixed contusions and insect-appearing bites vary in greatest dimension from0.2 to 0.6 cm are present over the dorsal aspect of the right hand. The dorsal aspect of the left arm has crusted drying areas that vary from 0.1 up to 1.4 cm. Over the medial aspect of the right knee there is a reddish-brown area with sharp margins.