A 32-year-old man came to the emergency department (ED) for multiple trauma. He was found in a parking lot and was suspected to be fallen down from a nearby building. He was transferred to the ED by an emergency medical system with a cervical collar in place and strapped to a backboard. He was confused and anxious, and could not remember the situation at the time of injury, but he was able to follow commands at the ED arrival. His initial vital signs were 55/45 mmHg–124 bpm–22 cpm–32.6 °C with SpO2 at 96%. He was anxious and confused. His right limbs and pelvis had open wounds and deformities. He was suspicious for multiple facial bone fractures, including mandible fracture with oral bleeding and dislodged teeth.