A pre-alert has been received for a 25-year-old man who has fallen from a high wall while intoxicated. He is being transferred to your hospital with full spinal immobilisation in place.
On arrival in the Emergency Department, he is on a spinal board, has a cervical spine collar in situ with three-point immobilisation of the head, and is conversant but agitated. He is complaining of neck pain with paraesthesia and weakness of all four limbs...
Author Dr Nick Charlesworth