CH034R
| Date of Injury |
| Yesterday |
| Age |
| 28 |
| Profession |
| Scaffolder |
| Circumstances |
| Jumped 12 ft out of a window - BILATERAL injury |
| P.M.H. |
| Mild asthma |
| D.H. |
| Salbutamol |
| Notes |
| Smokes 10/day, alcohol 6-10 beer cans/day, Hx of drug abuse (cocaine) |
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