A 30-year-old Food Panda rider had a head-on collision with a cement truck. When the paramedic assessed him on arrival, he reported severe pain in his neck and was unable to move his arms and legs. He could not feel his arms and legs. He was drowsy but orientated to his current location.

Vital signs at the scene:

Blood pressure of 100/72 mmHg

Heart rate of 82 per/min

Respirations of 22 per/min.

Pupils equal and reactive to light

Cervical collar applied –

Immobilized head on Ferno Scoop Stretcher.

100% of Oxygen and transported him to the hospital.

Past Medical History

ORIF to Left Trimalleoler fracture 3 years ago.

Social History

Single and lives with elderly parents. Older sister married.

On arrival at ED

Reflexes:

Sensation:

Strength:

X-Rays:

CT Spine:

CT Brain:

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