Hey I learned some things too! I hadn't thought of some of those but they are all great answers. This case happened to be a hollow viscous injury, which is notoriously difficult to diagnose in blunt trauma because of the low sensitivity on CT scan. The thought is that the traumatic perforation causes the bowels to spasm and it won't actually spill bowel contents until several hours later. The trauma surgeon evaluated this patient, admitted them for serial exams, and ended up taking them to the OR several hours later since the patient developed worsening peritoneal signs. Don't be fooled by the negative CT if they have real tenderness / guarding!
I live in Anacortes, which is the first island of Washington's San Juan Island chain. A great place to live. We have had several PA jobs, some closed as no applicants came forward. The hospital has one posted now (below). If you have a strong interest in interventional medicine, I know of a possible second one. https://pm.healthcaresource.com/cs/islandhospital#/job/604