Option 1: Clear with NEXUS CRITERIAEdit
C-collar may be d/c by nexus criteria
No midline TTP
No distracting injury causing significant pain
No neurologic deficit
No intoxication
No altered mental status
Option 2: Clear with ImagingEdit
CT C-spine is the Boards and Okonkwo answer
MRI C-spine without is the UPMC answer for some attendings (e.g. Hamilton).