You are treating a 20-year-old man with a large laceration involving the brachial artery. The patient is confused, is pale, and has weak peripheral pulses. Your initial attempts to control the bleeding have failed. You should:
A) administer high-flow oxygen, establish vascular access at the scene, transport, and apply a proximal tourniquet en route.
B) administer high-flow oxygen, transport, and apply a proximal tourniquet and establish vascular access en route.
C) apply a proximal tourniquet, administer high-flow oxygen, transport, and establish vascular access en route.
D) control the bleeding by applying pressure to a proximal pressure point, administer high-flow oxygen, and transport.
Answer: C) apply a proximal tourniquet, administer high-flow oxygen, transport, and establish vascular access en route.
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