5. You arrive on scene with your partner to a multiple vehicle accident where you are the 2nd ambulance to arrive. Scene size up indicates there are 7 patients in 2 cars, none requiring extrication. In the first car is a 45 year old woman who is 28 weeks pregnant and unconscious, a 12 year old girl who is screaming and complaining of back pain, and an 8 year old boy who has a facial laceration and no other signs or symptoms. In the second car is a 70 year old man who is slumped against the steering wheel. There is heavy damage to the front end of his vehicle. In the backseat are 3 teenagers. The two on the impact side are complaining of nausea and appear to have an altered level of consciousness. Also in the back seat is a girl who said she was having a seizure and was vomiting earlier and that her grandfather had been taking her to the hospital. She was wearing her seat belt and has no sign of injury. What may have happened to the 70 year old man?