We must paint the ER staff a very clear picture of the how, why and why not of mechanism of the injuries sustained.
We also have to clearly explain that we followed the spinal protocol to rule out the need to collar and board this pt and show that the Pt did NOT need to be immobilized by our protocols.
Many hospital staff have no clue that there is plenty of evidence based medicine studies to show that when done properly following the NEXUS protocol EMS can safely rule out the need to immobilize a pt that passes the clearance protocol.