HPI: 70 year old male s/p traumatic fall from a ladder, landing on his back. No LOC, back or neck pain. 10 mg IV Morphine from EMS.

Vitals: 68 BPM, RR 18, BP 158/74 mmHG.

Physical exam: Bilateral abducted and flexed arms, L hand superior to head and R hand is superior + posterior to head. BL empty glenoid cavity. Neurovascular function intact bilaterally.