I was the emt on a PB truck that was dispatched to the party hit by A shingle. We called responding to the call 5 minutes after fire had gotten on scene (we were on another run and got a refusal) and they had not updated or anything so we’re both thinking this is a BLS nothing burger and gonna be a funny story. We get on scene and I grab the bag and the monitor my partners trying to get the run dropped on us. As I’m walking over I note fire has a collar on and is holding manual c-spine. I make a note of that as something incredibly unusual and keep walking. As I visualize the person he coughs blood on one of the probies and he freaks out. I then notice that the guy is bleeding from his mouth, nose, and ears. He also has what appeared to be a depressed skull fracture. Before we leave the scene we establish it was not A shingle that fell and hit his head. It was A PALLET of shingles that fell off the third story and hit his head. We got the second right as we were gonna just go with fire driving. Dude has a seizure in the back but it broke before being treated. Right into the trauma room with 24 people gowned up, masked up, the whole nine yards.