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1) Activate Helo launch
2) Seal up that backside with a gang of Hyfins
3) Bi-lat 14g x 3.25" Needle drops on the mid-ax line not mid-clavicular...probably going to produce some blood but then at least we know.
4)500cc Hextend via 18g or 16g to see if he is a responder or if I have bleeding in the box
5) Wouldn't run O2 or C-Collar. I have read and believe several studies pointing to the toxicity/lethality of O2 in trauma situations and C-collars causing injury. 91% O2 Sat is concerning but dude just got shot in the thorax; it isn't a quality of O2 being brought in problem, it's a he is having a failure to exchange due to blood in his plueral space.
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