Thank you for all of the comments guys I love the feedback. My BC who was there with us watching the rodeo knew the family and got further info. Pt Did not have a thoracic fracture it was a misdiagnosis along with the the perforated bowel. The bowel did have lots of fluid and inflgmation so it caused the misdiagnosis. He did however have a L-spine fracture. I am completelly comfortable with the call and decisions I made. I also learn a ton of info from this site and it points me to more and more things to read on.