Admit
Patient meets all criteria following observation?
Normal mental status
Resolving or minor symptoms
Tolerating oral intake
Dependable social support
No abuse
Injury not detected
Able to mobilize?
Able to tolerate pain?
No neurologic symptoms?
T/L injury detected on imaging?
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
< 14 yrs.
Hemodynamic instability
Suspected child abuse