A 22-year-old male with blunt thoracic trauma presents with severely labored respirations. His level of consciousness is decreased and his heart rate is 140 beats/min and thready. Further assessment reveals absent breath sounds on the entire left side of his chest and jugular venous distention. After appropriately managing his airway and immobilizing his spine, you should:
A. perform a secondary assessment, transport immediately, and establish vascular access en route.
B. insert a multilumen airway device, start a large-bore IV, and transport to a trauma center.
C. transport immediately, start a large-bore IV en route, and request a paramedic rendezvous.
Answer: C. transport immediately, start a large-bore IV en route, and request a paramedic rendezvous.
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