A report at the scene indicates that neither skier saw the other and impact was at full speed without any attempts to avoid a collision. Upon arrival the adult was standing upright without any complaint of injury. The 13 year old was unconscious and unresponsive to deep pain stimulus, laying on his back with his head downhill. Airway is open and breathing is normal at a rate of 16.
Pupils are equal and reactive to light and accommodation.
There is no CSF in ear or nasal passages. Teeth are intact. There is no notable deformity to head or any extremity. Nail beds have good capillary fill. Thoracic cage is intact, abdomen is soft, pelvic region intact.