Utah Pediatric Trauma Network

Determination

Stable fracture pattern discharge with follow-up in 2 weeks

For centers without peds spine subspecialists consider PED1 follow-up. Call 801-662-1655 for appointment

Patient meets all criteria following observation?

Normal mental status
Resolving or minor symptoms
Tolerating oral intake
Dependable social support
No abuse or neglect

Your Answer: Yes

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

Your Answer: Yes

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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