MI 494 Simulation-Chest Trauma

MI 494 Simulation-Chest Trauma Scenario You are the trauma nurse working in the emergency department (ED) of a busy tertiary care facility. You receive a call from the paramedics that they are in route with the victim of gunshot wounds to the chest and abdomen. Perpetrators shot the 32-year-old man during a convenience store robbery. The victim was a customer; the clerk died at the scene. They started 2 16-gauge IV lines with lactated Ringer’s solution and oxygen by nonrebreather mask at 15 L/min. The patient has a sucking chest wound on the left and a wound in the right upper quadrant of the abdomen. Vital signs in the field are 90/46, 140, and 42. The paramedics state they are having difficulty ventilating the patient, who is diaphoretic, very pale, and lethargic. The estimated time of arrival is 4 minutes.