[desertmedic]

First thought is a tegaderm or similar occlusive dressing to seal the wound. Is there an exit wound? Would be prepared to intubate or cric. C-spine control would be nice but not necessarily plausible in this setting. Undecided on pain meds weighing Px level vs. anticipated level of respiratory distress. An access line or two would be nice depending on time/present location, if volume replacement is needed going with hypotensive resuscitation. Just my thoughts,

Desertmedic, NREMT-P