The causes can vary from jumping out of a moving car, getting caught in a fence, getting into a fight or even just jumping off the couch or out of your arms. (texvetpets.org)
Hanging your head out of a moving vehicle sounds dangerous. (theinspiredroom.net)
There are many optional places to visit in the map but if you run out of moves before reaching the boss, its game over and you will have to start the map again. (thetech52.com)