A 54-year-old male convenience store clerk was shot in the left anterior chest during an attempted robbery. After ensuring that the scene is safe, you enter the store and perform a primary assessment. The patient is semiconscious, is in severe respiratory distress, and is pale. Further assessment reveals absent breath sounds on the left side of his chest, collapsed jugular veins, and a blood pressure of 70/44 mm Hg. In addition to managing his airway, you should:
A. ventilate the patient at a rate of 20-24 breaths per minute.
B. transport immediately and perform invasive procedures en route.
C. start two large-bore IVs and give a 20 mL/kg bolus of normal saline
D. perform a detailed secondary assessment and then transport rapidly.
Ans: B. transport immediately and perform invasive procedures en route.
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