FYI:
http://www.mass.gov/dph/fch/sane/2003_sane_protocol.pdf
Here is the SANE exam protocol for Mass.
I cannot think it is much different from NC. It is very interesting
conditions such as lacerations with uncontrolled bleeding requiring sutures, vaginal bleeding, loss of consciousness, altered consciousness, drug or alcohol intoxication are among the conditions that may require the urgent attention of the ED physician.
(My bolding.)