Dose the patient being treated have any of the following conditions?

• Less than 2 years old.

• Limited movement or weakness of the injured area.

• A bone that is likely broken, or looks broken or fractured.

• Head injuries.

• Pregnancy.

• Severe pain.

• Experiencing pain for more than 10 days.

• Pain that has persisted or gotten worse after using over the counter pain medications for one week or longer.

• Pain originating in the stomach or abdominal region.

• Other symptoms such as fever, vomiting, or signs of infection.


Yes

No






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