Review Question - QID 213800

A 33-year-old man presents to the emergency department after he is found passed out next to his car. The patient's car was found rammed into a telephone pole. The patient was found napping outside of his car on a bench nearby. Upon arrival, the patient is too intoxicated to offer a useful history. His past medical history is notable for alcohol and IV drug abuse. His temperature is 97.6°F (36.4°C), blood pressure is 124/94 mmHg, pulse is 105/min, respirations are 12/min, and oxygen saturation is 98% on room air. The patient has a Glasgow coma scale of 12 and is not intubated. He is observed in the emergency department with a plan for discharge when clinically sober. The patient is evaluated 7 hours later, and his heart rate is 130/min and blood pressure is 95/60 mmHg. The finding in Figure A is present. He appears obtunded and only arouses to sternal rub. Which of the following is the most appropriate next step in management?