Fall During Rock Climbing, What Is He At Risk Of

31-year-old male injured while rock-climbing. History of Present Illness:   This patient was rock-climbing at a national park 14 miles away from the nearest hospital when he suddenly lost his footing and slid 18 feet to the ground. He slid against sharp rock, landing in a standing-up position, finally slumping to the ground. The head was not jarred during the slide. The man was alert and oriented after the fall, and could move all four extremities quite easily.

He had multiple scrapes over his anterior torso and a large gash over his right anterior upper thigh (near the groin) which was bleeding profusely. A makeshift tourniquet slowed the bleeding. A large-bore IV was placed in each arm in-flight, and normal saline fluid was administered intravenously. The patient became increasingly disoriented during the flight, reaching the emergency room about 40 minutes after the fall. Past…