Monday afternoon BCEMS responded to a residence off Sugar Hill Rd to injuries from a fall. BCEMS arrived on the scene to find a male that had a laceration and puncture wound to his abdomen and abrasions to his back. The male was approximately 15-20 feet up on a ladder trimming a tree limb when the limb kicked back hitting the ladder and the patient throwing him to the ground. The patient was evaluated by BCEMS and was transported to Kennestone hospital for further treatment.