Ruthlessly efficient as always, she is all ready and waiting for you. She suggests including the craniocervical junction on the head scan as the patient is intubated - and who are you to argue?

The brain scan shows a mild diffuse brain injury, and the abdominal scan shows a grade 2 splenic laceration and no other injury. The boy remains stable throughout the scan and you arrange for him to be transferred to the intensive care unit for further care, after his plain films of the entire spine which he'll have now in the X-ray department.