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Review Question - QID 2270

QID 2270 (Type "2270" in App Search)
An 8-year-old male falls from a tree while climbing. Evaluation in the ER demonstrates shallow breathing, a large bleeding laceration to the back of his head, and obvious deformity to his left ankle. Pulse oximetry measures 83% oxygen saturation. When you perform a sternal rub, he withdraws, however, he does not open his eyes or make noise any point during the assessment. What is the best next step in treatment of this patient?