Your patient is Mr. Horatio Nelson, a surprisingly short 19 year old, who has fallen out of a single storey window while at a rave party. His mate (who goes by the name of Hardy) assures you that apart from quite a lot of alcohol Horatio only took 2 or 3 ecstasy tablets (though Horatio looks bloody miserable at the moment).

Spinal immobilisation and a rigid cervical collar are in place. History and examination are hindered by Horatio constantly trying to kiss Hardy, but on examination you only find some bruising around one eye and a broken humerus. His neck is clinically not tender, with no deformity or defect, and he has no obvious neurology.