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Diagnostic images revealed a comminuted fracture of his left patella, a fracture of his left iliac wing, a left lateral 6th rib fracture, a significantly displaced and angulated transverse fracture of the 5th proximal phalanx on the left and a questionable fracture of the left radial head. In addition, and significantly more troubling, the diagnostic tests revealed a splenic laceration with adjacent blood, a pneumothorax in the left lung, and multiple bilateral pulmonary lacerations. Due to concerns regarding the severity of his “Level I trauma” injuries along with the possibility of internal bleeding, Nicholas was immediately airlifted to Ministry St. Joseph’s Hospital in Marshfield,