Why would the doctors be concerned about kidney failure after a trauma involving the arm? In a hypovolemic emergency, blood is shunted from non-essential organs to the heart, lungs, and brain. This can cause tissue damage in the peripheral organs like the kidney. In a hypovolemic emergency, extra blood is shunted to the kidney. High levels of bacteria could have entered the wound and ended up in the kidney, essentially poisoning the organ In a hypovolemic emergency, the heart fails as a pump and therefore blood pressure rises in the peripheral organs. In a hypovolemic emergency, the blood vessels remain dilated which increases blood flow to the kidney and extreme blood pressure damages the renal tissues

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