From LedHed's Wiki
Download the patch from the vmware website and upload it to the root of a local datastore.
Put the host into "Maintenance Mode"
Login to the console directly or enable SSH and connect.
Run the following command:
esxcli software vib install -d /vmfs/volumes/[DATASTORE]/[PATCH_FILE].zip
Reboot
References
http://www.chriscolotti.us/vmware/vsphere/how-to-patch-vsphere-5-esxi-without-update-manager/