Robb wrote:I guess I'm wondering how do we determine when to ride the backboard to the emergency room, and when to go home and apply ice.
my take on this: if there is a risk of back injury, assume the worst. and assume it might get much worse by moving. call the professionals for rescue and have it checked out.
if you arrive on an accident scene: it sometimes takes some convincing by the first responders to keep the injured from moving around. insist on it. as for calling 911, just do it and don't listen to objections. as bill's account shows the patient might be misjudging their own state quite a bit.
i know that around here money can be an issue when it comes to search and rescue, but then you still have the option of organizing a back-board and a team somewhere while the patient is keeping quiet - it just takes longer, but at least you minimize the risk of making things seriously worse.