What makes a person confused and unresponsive after falling off from a ladder?

A person may become confused and unresponsive after falling from a ladder due to a traumatic brain injury, such as a concussion, which can impair cognitive function and awareness. Additionally, the impact of the fall may lead to shock or a loss of consciousness, further contributing to confusion. Internal injuries or significant pain can also affect a person's ability to respond appropriately. It's crucial to seek medical attention immediately in such situations.