Confronting an acute complete high-cervical spinal cord injury (C1–C7), traumatic quadriplegia (tetraplegia), acute spinal shock with loss of descending sympathetic tone, or flaccid paralysis following a severe road traffic collision, diving mishap, or structural collapse overseas represents an exceptionally fragile, life-altering aeromedical situation. Every year, international adventure athletes, civil infrastructure contractors, foreign diplomats, expatriate corporate…