NREMT Paramedic

Category - Trauma

Pete has been hit with a hockey stick across the mid of his back on the left. You are pretty sure that there are several broken ribs. What must you assume is damaged in the retroperitoneal cavity with this type of trauma?
  1. Liver damage
  2. Spinal damage
  3. Kidney damage
  4. Stomach damage
Explanation
Answer: C - A hit to the back and a display of broken ribs there must be the assumption of kidney damage in the retroperitoneal cavity. This is due to the anatomical location; the kidneys are located in the retroperitoneal cavity between the twelfth thoracic and third lumbar vertebrae. Any blunt trauma to the back with an associated rib fracture must raise the index of suspicion as to kidney involvement.
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