Urgent Care Evaluation and Management of Motor Vehicle Collision Injuries: An Evidence-Based Approach (Trauma CME) | Points & Pearls
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Urgent Care Evaluation and Management of Motor Vehicle Collision Injuries: An Evidence-Based Approach (Trauma CME)

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Points & Pearls Excerpt

  • Ambulatory presentation of patients who have been involved in motor vehicle collisions (MVC) does not guarantee the absence of potentially severe or life-threatening injury.
  • The mechanism of injury is a key determinant in predicting injury patterns and guiding clinical decisions.
  • Initial triage should include vital signs, Glasgow Coma Scale (GCS) score, and a primary survey (ABCDE). Patients with a GCS score <14, unstable vital signs, or high-risk factors should be referred to an emergency department (ED) by ambulance. (See Table 5 and Table 6.)
  • The use of clinical decision rules, such as the Ottawa Knee or Ankle Rule, can guide medical decision making for patients requiring advanced imaging beyond plain radiography that is available in the urgent care (UC) setting.
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Publication Information
Authors

Frank A. DiFazio, MD, FAAOS; Shelley L. Janssen, MD-MBA

Peer Reviewed By

Lisa Campanella-Coppo, MD, FACEP, IFMCP; Kyla Howrish, FNP-C, FCUCM

Publication Date

January 1, 2026 (Reviewed: Dec 2025)

CME Expiration Date

January 1, 2029    CME Information

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