the patient might tell you what if, if the casualty was still able to talk, they might be able to give you the history of how they became like they were, received a blow, got kicked, fell onto something hard, okay and so on and so on, they might be able to tell you themselves, give some indication, right, you would remove and loosen off all tight clothing, okay, loosen off the clothing for them and then treat them for shock and then refer them to urgent medical attention, nil by mouth on any account, okay?