SMR Standard

STOP MOVING

Consider SMR if MOI is

• Any trauma associated with complaints of neck or back pain

• Sports accidents

• Diving incidents and submersion injuries

• Explosions

• Falls

• Pedestrian struck

• Electrocution

• Lightning strikes

• Penetrating trauma to head/neck/torso

Consider SMR if Pt exhibits any risk criteria

• Neck or back pain

• Spine tenderness

• Neurologic s+s

• Altered LOC

• Suspected intoxication

• Distracting painful injury

• Anatomic deformity of the spine

• high-energy mechanism of injury

• = or > 65 years including falls from standing height

High energy MOI

• fall > 3ft or 5 stairs

• Axial load to the head

• High speed motor vehicle collisions

• hit by bus or large truck

• Motorized/ATV recreational vehicles collision

• Bicyclist struck or collison

• = or > 65 years incl falls from standing height

DO not apply SMR when

• No spine tenderness

• No neurologic S+S

• No Altered LOC

• No evidence of intoxication

• Mo distracting injiry

• No Anatomic deformity of the spine