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First of all, he may indeed be paralyzed after this, but the likelihood of his dying from a broken neck neck NOW are very much reduced. One thing that happens immediately upon finding someone injured, a neck collar goes on and the person is then handled with care so as to not aggravate the neck injury. The hospital folks have stabilized his neck for now. The legs can be fixed, the spleen was removed, and the liver lacerations are the biggest deal right now. Livers bleed like stink, so getting the liver repaired was the utmost importance. Spleens also bleed like stink once they are ruptured, but once removed, the bleeding stops. At this point, he is on a ventilator to help him stabilize, and his broken bones will be fixed shortly. Depending on what happened to his neck, the docs may decide to let the swelling in the area to go down before going any further. If he has a fracture of his spinal bones, but not a shearing off of the spinal cord, he may has a temporary paralysis. If, however, he has both the spinal cord and the bones crushed, then paralysis is likely. He's likely to survive this if no infection sets in. The doc and nurses will be keeping a sharp eye on him now, to monitor him for any changes in his vital signs, and will react quickly to any changes that may occur. He may not be awake now because the docs are keeping him asleep. That is done sometimes to help patients get through the first few days. He may also have lost a great deal of blood(with two legs broken and two abdominal organs hurt, I have no doubt about the loss) which makes him extremely weak. I wish both of you the best. If he is paralyzed after this, once he is on his way to recovery, rent a copy of the movie Murderball, which is about guys in wheelchairs who play(and play hard!) rugby, so he can see that he can indeed get out and live.