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The local fire department transported this 25 year-old male to the emergency department shortly after he was accidentally run over by a Bobcat skid steer at work. He reportedly had a transient loss of consciousness and was found lying prone on the concrete floor. In the emergency department, the patient was in severe distress and complained of pain to his back, and pelvic region. In addition he stated that he was unable to see out of his eyes.

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What are your concerns as you enter the examination room. What is this
condition called?  

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