Trauma Scenario I

[Sdiver]

Okay, time to put your thinking caps on.
READ all the information given, don't just focus on the wound in the picture.
Make sure you give a reason for all your actions.

You respond in a Rural area for a "Man laying on the side of the road" on a stormy evening, raining like crazy. You make it on scene at 0313 hours. Upon arrival you find this 20ish year old white male lying face down on the roadside. Responsive only to deep painful stimuli. As you role him you find a black handgun lying underneath him. Breathing appears labored. You cannot obtain any information from him.

You find a bag of what looks like Potpourri falling out of his jacket pocket. Due to weather you only have 1 First Responder on scene, no other available. The small local Sheriff's dept is tied up on a standoff 15 miles away, closest State Police or LEO backup is 20 min away. Closest Level 2 is 10 min away, Level 1 is 15 min.

You HAVE NO OTHER RESOURCES TO RESPOND!!!!

HEENT- Burns around lips
Pupils- 2 mm slow
Neck- Slight JVD, Trach Mid line
Thorax- as you see it.
Lungs- Decreased on left, rails in left lower
Back- Clr
Abd- Appears normal
Pel- Clr
Extrem- Burns to fingers, Cyan in nail beds, nothing else noted
Neuro- Unable to assess

BP- 65/42
HR- 48
RR- 08 Shallow
FSBS- Not assessed
SpO2- 76% on NRB15L via First Responder

What is your treatment plan going to be?
How will you handle the firearm issue?
Any Special concerns or precautions?