A keen aspiring CCFP-EM resident managed an interesting case the other day in a small town hospital. It was an unfortunate young lady, 9 years old, who had a straddle injury followed by copious vaginal bleeding. Unable to do a pelvic examination without the presence of conscious sedation, the resident chose to get pelvic xrays and observe the patient. Peds ER was contacted and were agreeable to see the patient but suggested direct referral to Gyne although the resident felt more comfortable if at least a better exam could be done before speaking to Gyne. In the end seeing, as the patients were anxious, the resident agreed to transfer the patient to Peds ER without a full exam or bloodwork. We felt a little sheepish initiating this transfer. What would you do in his place. Anything different?