An 87 yo woman with h/o osteoporosis, multiple recent falls, CAD, who presents from nursing home with C2 fracture.  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.  The patient complained of neck and rib pain. She was taken to OSH, where she was found to have a comminuted fracture of C2.  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.