Abdominal/ Pelvic Trauma

Scenario
You are called to see a patient in the emergency department. It is a 26 year old with abdominal injury. The patient is hypotensive. What would you do?

Questions
  1. This patient is known to have left upper quadrant pain predominantly. What would you be worried about?
  2. When balloting the kidneys you notice they are a bit bulky and the patient is passing blood in the urine. What would you be worried about?