_ y/o patient presenting with very concerning story for a serious intracranial injury. Unable to clear patient with PECARN rules given that HPI and exam were notable for _. Will obtain CT imaging of head & neck to rule out intracranial injury or C-spine injury. Patient is protecting their airway and otherwise has an unremarkable secondary trauma survey. C-collar in place. CT imaging shows _.
_Neurosurgery emergently consulted. _Patient admitted for overnight observation given persistent neurologic deficits. _Patient observed in ER for 4-6 hours, C-collar removed and was discharged home with close PMD follow up.
MDM for different chief complaints 
Critical care documentation
Combative patient
Wilderness preparedness
ACEP clinical policies
Expedited partner therapy
SCVMC:CUSTODY CARE
FALLS protocol