The patient is an 87 yo woman with h/o osteoporosis, multiple recent
   falls, CAD, who presents from nursing home with C2 fracture and
   evidence of pulmonary emoblus.  The patient was in her usual state of
   health at her nursing home until yesterday morning when she sustained a
   fall when trying to get up to go to the bathroom.  The fall was not
   witnessed, but the patient reportedly did not lose consciousness.  At
   3:30 that afternoon, the patient complained of neck and rib pain. She
   was taken to OSH, where she was found to have a comminuted fracture of
   C2.  She was transferred to [**Hospital1 1**] for further evaluation.  Of note, the
   patient was recently treated for CDiff infection at her nursing
   facility, per discussion with her daughter.
   .
   In the ED, the patient's VS were T 99.1, BP 106/42, P 101, R 24.  She
   had an ECG which showed sinus tachycardia and ST depressions in V3 and
   V4.  CT head was negative for ICH.  She was seen by Trauma surgery, who
   recommended stabalization with a cervical collar for the next six to
   eight weeks, but they deemed that she is not an operable candidate.