- No complaint of neck pain when asked AND
- No neck tenderness on palpation AND
- No h/o loss of consciousness AND
- No altered mental status (alcohol, drugs, trauma) AND
- No sensory or motor deficits AND
- No distracting painful Injury
If ALL of the above are present, cervical spinal injury can be ruled out and hard collar taken off.
Applicable mostly to children over the age of 8 years