Ralph Jimenez and Oscar Duran, Miami-Dade County, Fla., Fire-Rescue paramedics, describe what happens to an emergency patient in a hospital after a debilitating vehicular accident at Langley Air Force Base, Va., Nov. 5, 2014. Jimenez and Duran spoke to the audience about the number and types of injuries a person may sustain to become a quadriplegic. (U.S. Air Force photo by Airman 1st Class Devin Scott Michaels/Released)