Determination

Admit

Patient meets all criteria following observation?

  • Normal mental status

  • Resolving or minor symptoms

  • Tolerating oral intake

  • Dependable social support

  • No abuse

Your Answer: No

Injury not detected

  • Able to mobilize?

  • Able to tolerate pain?

  • No neurologic symptoms?

Your Answer: Yes

T/L injury detected on imaging?

Your Answer: No

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

< 14 yrs.
Hemodynamic instability
Suspected child abuse

Your Answer: No