Isolated Orthopedic or Minor Traumatic Injuries (Fractures/Strains/Sprains etc) that  DO NOT meet trauma transfer criteria.

• Example: Tibial Plateau Fracture, Splinted in Main ED. Placed in CDU for pain control, NV check Q6h

If age > 65 or known osteoporosis, all pelvic fractures (rami, acetabulae etc) must have a CT pelvis with contrast. 

Orthopedics consulted by main ED 

Need for pain control or rehab consultation, assistive devices, braces etc prior to discharge

MOST LIKELY disposition is home based on ED Provider clinical judgement

Nearly Certain disposition is SNF or Care Facility Placement based on ED Provider Judgement (If home is a possibility after pain control and PT eval, then ok for CDU)

Patient meets criteria for Trauma center transfer

Further imaging planned to rule out undiagnosed traumatic injuries.  (a plan to get CT of a known injury for surgical planning is ok, but not one to look for undiagnosed injuries)

Altered mental status

Abnormal Vital Signs

Need for Inaptient Surgery (Hip Fracture, Open Fracture etc)

Pain controlled

No further concern for compartment syndrome or other complication

Outpatient follow-up plan defined

Assistive devices available

Able to complete ADLs with Family and Home health Support

Uncontrolled Pain

Patient requires SNF based on PT eval

Unstable Vitals signs, change in mental status

Further undiagnosed injuries discovered or suspected (likely needs trauma transfer)