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I would figure their could have been some internal bleeding. The man drove off the rd, flipped, and put yourself in this situation: Although their was a seatbelt worn, it doesn't prevent movement of the body entirely. The pt also could have been struck by random crap in his car (tossed around)...

Wow, I love that idea! Your absolutely right-if I know most of what's in the field guide, why carry it? I think I will use your idea of laminating the stuff I can't remember-thanks!