Some field prehospital stuff

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Clearly a Grade I or better renal contusion.  Hydrate vigorously and pray that he doesn't get into trouble with clot retention.  I wouldn't let the guy do much in the way of exercise.

Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Charles Brault
Sent: Wednesday, August 19, 2009 3:54 PM
To: Trauma-List [TRAUMA.ORG]
Subject: Some field prehospital stuff

Out in nowhere jungle
 
25 year old received a falling branch from aprox 30 feet (6" diam)
Hitting flank
Small abrasion
Considering the trauma there is very littl pain to report or illicited by deep palpation
ABD soft non-tender, no guarding, no kidney tenderness
Does remark a discomfortable pain when bringing back down the leg on the affected side
(no proble leifitng the leg
 
Anyway not much to read about
 
But
 
put out aprox40cc post incident and a 60cc 1hr post
of burgundy colored urine (blood +++ )
 
 
No relevant PMHx (no urinary problems)
 
 
Now
 
What is the likely mecanism ?
 
 
Can't ship him out till the morning
 
Keep you posted
 
Charles
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