A child has third-degree burns on the front of the torso and on both arms. What is the total body surface area affected in this child?

Following a motor vehicle accident, the patient is brought via ambulance to the emergency department (ED). The patient is unconscious during the mental status exam. The nurse attempts to arouse the patient by calling her name, but the patient does not respond. Following a firm sternal rub, the patient’s flexes the arms into the chest and moans. The nurse documents the patient’s Glasgow Coma Scale score as which number? Enter your response using a whole number.

The patient presents to the emergency department after having a metal beam fall on his head at a work site. He was wearing a helmet which broke with the impact. He was unconscious at the scene but is awake now, and his initial assessment is completely benign. Which finding upon reassessment 30 minutes later is most concerning?