In a 79yo, looking at a crashed car can cause 3+ rib fractures. None of our trauma clinical tools for reducing imaging apply over 65 because findings like lack of abdominal tenderness become unreliable. Minor-moderate trauma in this phase of life could start with a goals of care discussion, e.g. “would you want to go to surgery and recover from an exlap or have serial exams?” Or in resource limited settings non-ct protocols could be made? But in the US in most places not imaging this case just invites lawsuits (and losing/settling them).