 Give me the light so we can get a light to the forehead. Go down each one. We'll get it. Yes, I am. Thank you, sir. All righty. So, we have a landmine injury and we reassess. We have a left arm injury and a blast injury to his abdomen. So, he threw in an MPA to secure his area on length. He's unresponsive. He doesn't have any access. I'm going to start working on that. I think I'm on the monitor. I'm getting access. All right. Head is atraumatic. Do I see anything in his mouth? There's something in his mouth. Okay. Do I see anything around his throat? Nothing around his neck. Okay. Nothing around his neck. His upper chest. It's clear. Clear? All right. His right arm is atraumatic. Atraumatic. And his left arm has the amputation. Amputation. All right. His abdomen is covered. I'm going to have to expose it to see what it will come for. As you expose it, you see a lot of full thickness burn. Full thickness burn. Okay. All right. Almost. So, we put burn dressing on that. One, two, three. One, two, three. One, two, three. One, two, three. One, two, three. One, two, three. One, two, three. One, two, three. Last injury. Any active hemorrhage anywhere we see? There was some of the chest. There was some of the chest. And the chest. Okay, but he is responsible a little bit. How's his airway? His breast braces are shallow. Reptory rate is 16. His belly does not appear to be distended. There's a fair amount of blood from the outside and with pressure dressings on. He's got some other fragmentation, injury in the mid abdomen. No other masturbation. Let's get him over to the STP bed 4. Trapinal to the chest and lower abdomen on the right side. All right, I got him hooked up to the monitor. That's what kind of vitals do I have. He's got a pulse rate of a hundred percent. Blood pressure is 76, so 64. Reptory rate is labor, 16. His pulse locks on the room area you have him on is 89 percent. What did you do for him? I don't see any obvious treatment for him. Damaged the mouth or is he coming out of the room? Yeah, he's got some blood in the mouth. It looks like he took maybe a little small fragment or a bit of tongue or a bit of lip or something because there's blood coming out. I'm in a lot of pain. This is getting worse. Can we start a morphine? Well, I don't know, can you? I would give him morphine. Morphine? Yes. Is he for the operating room? Yes. Vitals, please. Up injuries to the right chest and right abdomen. We have an IV started on the left arm. He's got normal saline in the field. We gave him two units of blood. He is intubated. He has a chest tube on the right side. Initial blood coming out of the chest tube was 550 milliliters. Quality increased. So there's not blood coming out of the chest tube? No. You suspect he's got an insert going for some bleeding? We're going to look for a unit of blood right now. Clear. I'm looking for it. Not much. 10cc looks like... Okay, I'm going to prep. OG tube's coming in right now. We're going to prep while we're waiting. Our vital signs are unit of blood is in here for the gram of calcium. Palses come down to 100. Blood pressure is 90 over 60. Respiratory rate is 16 as per vet. 100? Saturation is 98%. Bilateral breast sounds? Bilateral breast sounds. Clear. And then two of these warm, no more saline. We're going to do excellent. Blood's pouring out. Full sucker piece. Suction. Okay, I don't think we have them in. I'd suck them out of the blood. I've got a little blot around the liver. Dark blood. Nothing continuing to sweep out from that area once you're packed. Okay. I've packed all four quadrants. How am I going to move dynamics? It's improving. Your heart rate now is 90. Your blood pressure is 100 over 70. Respiratory rate per van is 16. Saturation is 98%. We've got a little ooze. Looks like it's coming from the other side. Okay, I'm going to take out the bright little carbon. Do I see anything? Looks good there. Okay, let's get a Pringle ready to go. Okay. So then we will try to control wherever the bleeding is. It'll be either IBC, Port O'Vane, or maybe just a Derrick. How's our vital signs? Vital signs now are a heart rate of 105. Blood pressure is 90 over 50. Okay. Respiratory rate is prevent 16. Saturation is 98%. All right. Starting the third unit of blood. Okay. I'm going to unpack. I'm going to do some pressure. Ready? Suction, please. Heart rate is 120. Okay. I'm going to go up above the diaphragm, right at the hiatus, and I'm going to compress the IBC. Third unit is in. I'm getting ready to hang the fourth unit of blood. Now what happens? I think it's kind of slowed down a little bit there. Another one. I'm going to compress this to IBC. You know what's happening? Your blood pressure is improving slightly. It's 90 over 50. Heart rate is about 110. Okay. I'm going to pull this top one, please.