Cases From The Field
Case of the Month – July/August 2026
“He’s Fine” is Not a Neuro Exam
– Evaluating Pediatric Patients for Cervical Spine Injury Risk

Author:
Paul Aragon, MD
Objectives
- Apply evidence-informed criteria for spinal motion restriction in pediatric patients
- Identify common contributors to under-immobilization in pediatric trauma during prehospital evaluation
Prior Cases:
*Ouch, my ankle! –Case of May/June 2026
*Applying SB-43 Criteria – January / February 2026
* Plugged In, Checked Out: The Altered Home Dialysis Patient – September/October 2025Â
*Hot Off The Dance Floor – July/August 2025
*Walking Away? – Â May / June 2025
*HERT – March / April 2025
*A New Mother with ALOC – January / February 2025
*A lot of bees! – November 2024
*Case of September – September 2024
*Respiratory Distress – July 2024
*Pediatric Bradycardia – April 2024
*Pesticide Exposure – January 2024
*Pediatric Seizure – October 2023
*Acute Aphasia – June 2023
*Hypothermia – April 2023
*Consent of Minor – January 2023
* Methemoglobinemia  – October 2022
*EMS Care for Hospice – August 2022
* Managing An MCS Device Patient – April 2022
* Child Birth Emergency – January 2022