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Car Accident
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Date of Accident
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Driver/Passenger
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Struck on the
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Looking
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Air bags deployed?
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What did patient strike in car
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Unconscious?
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Seatbelts?
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Where did patient go?
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Imaging and treatment?
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Additional Treatment
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Getting better/worse
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Asymptomatic?
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Immed. Pain
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Immed. Pain
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New Field
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Immed. Pain
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New Field
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Immed. Pain
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New Field
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Immed. Pain
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New Field
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Immed. Pain
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New Field
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Immed. Pain
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New Field
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Immed. Pain
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New Field
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