Urinary tract infection.

1. Establish airway. 2. Immobilize spine. 3. Monitor oxygenation and vital signs closely. 4. Insert indwelling urethral urinary catheter. 5. Record sensory and motor levels. 6. Determine weight and allergies. 7. Optional: Administer intravenous methylprednisolone protocol (if this follows the trauma center’s protocol). 8. Obtain radiograph of spine; consider advanced imaging of spine/ head. 9. Order lab work (complete blood count, electrolytes, blood alcohol, drug screen, blood gases). 10. Prevent skin compromise by padding bony prominences and repositioning the patient every two hours. 11. Consider placing a nasogastric tube for abdominal decompression. 12. Complete tertiary trauma survey and stabilize other fractures/ injuries. 13. Refer to specialty hospital for spinal cord injury treatment.