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You are seeing a 6 year old child that was involved in a motor vehicle accident. He was belted in the rear left seat using a regular adult seatbelt. He is alert and crying. His airway is open, there is no evidence of head trauma, trachea is midline, and chest rise is equal with no increased work of breathing. He is tender in the right upper quadrant of his abdomen and has a seatbelt sign across his mid-abdomen. He has no obvious extremity deformities. GCS is 14. His vital signs are HR 160, RR 30, BP 80/40, O2 sat 98% on 5L by face mask non-rebreather.