He is in a standing position being held up by his friends. He is able to weakly ambulate to a gurney with assistance from his friends. He is poorly responsive, but is breathing spontaneously. He is not able to speak. Two IV's are established.
Normal saline is infused.
Breath sounds are coarse and somewhat shallow bilaterally. There is extensive bleeding from the face and mouth. O negative packed cells are requested until crossmatched blood is available. A lateral neck radiograph is obtained. View lateral neck film.