Utah Pediatric Trauma Network

Question

Able to mobilize?
Able to tolerate pain?
No neurologic symptoms?

Yes

No

Stable fracture pattern (neurologically intact)

Transverse process fractures
Spinous process fractures
Mild compression fractures (< 30% height loss)
No fractures at multiple levels
No significant focal kyphotic deformity (< 15 )

Your Answer: Yes

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T/L injury detected on imaging?

Your Answer: Yes

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Obtain Images 2 view T/L spine x-ray
OR CT T/L spine
OR Recon T/L from CT chest/abdomen/pelvis

Unexplained abnormal neurologic exam
T or L spine pain
T or L spine step off
High risk mechanism
ETOH/drug intoxication
Identified c-spine fracture
Abdominal/pelvic contusion with lap belt injury
GCS <14
Chest pain
Posterior rib fractures

Your Answer: Yes

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< 14 yrs.
Hemodynamic instability
Suspected child abuse

Your Answer: No

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(801) 662-2990 Tricia.Boulton@imail.org