He was stranded in a desert and then wanted to kill himself so he bashed his ribs open with a rock. Or he jumped up hallucinating thinking he say something great and with joy on the landing he bashed his ribs open on a rock.
Perhaps the desert used to be a sea, and he was out hiking, when suddenly a flash flood from a tributary slammed him into a rock, crushing his ribs, and then he flowed out to sea, until the sea dried up and left a desert.
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