Final answer:
The next step in the management of Mr. Wiggins would be to contact radiology for a stat CT scan of the head to rule out any cranial injuries or intracranial bleeding.
Step-by-step explanation:
The next step in the management of Mr. Wiggins would be to contact radiology for a stat CT scan of the head. This is important to rule out any cranial injuries or intracranial bleeding that may be causing his symptoms. By obtaining a CT scan, healthcare providers can assess the structure of the brain and identify any abnormalities that may require further treatment.
Administering Tylenol (1g) may help manage any pain Mr. Wiggins is experiencing, but it is not the priority at this stage. Starting a saline lock is important for intravenous access, but it is not the immediate next step in management. Holding coding (CPR) and NPO (nothing by mouth) may be considered later, depending on the results of the CT scan and Mr. Wiggins' overall condition.