The Importance of Intubation in Neurocritical Care

The airway realm is you are at your hub center and they're telling you about a patient still rousable to a voice but they're like a little drowsy. You have someone on the other end of the line saying now i really want to intubate. How do you decide who needs to be intubated so there are two two things that i that i always teach our residents and fellows about say what is what is your anticipated trajectory for this patient.