He listened intently as the senior paramedic gave report: “The patient is a John Doe, no ID, probably late twenties or early thirties, hard to tell with the facial swelling. He was the unrestrained driver in a single-vehicle MVA. The car hit a utility pole at high speed. The passenger, also unrestrained, was ejected through the windshield and pronounced dead at the scene.” As the paramedics reported vital signs, known injuries, and treatment administered in the field, Higgins studied the patient.
John Doe strained against heavy straps securing him to the wooden backboard. A cervical collar kept his neck aligned. His swollen head resembled a bloody pumpkin. Lacerations on his face, forehead and scalp seeped blood, and his T-shirt was covered with it. His jeans were dirty and torn, the tears old and frayed, not related to the accident. As John Doe squirmed and moaned, he opened his eyes. His stare was glassy and vacant. His groans, guttural. He would need to stay strapped to the board with his neck immobilized until X-rays ruled out spinal injury.
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