Question: Can you describe his heart sounds? I'm curious about the JVD distention and suspect cardiac tamponade. The force of the bullet may have damaged the myocardium. Obviously missed the heart or we wouldn't be discussing the case. I suspect the shooter was using a low velocity low caliber round. Don't know if I would attempt to treat cardiac tamponade in a moving vehicle on a rural road though.
So the question is sort of moot.
