 It's snowed out there right now. 77 inches. You wait. Come on. What do you say? Blood. Responsive pain? Oh, yes. OK. Take away his weapon if you had one. And then we're securing a scene. We're now going to put a blood sweep. Where's our arm? No. It's forming a blood sweep. All right. So we're seeing an adrenal injury. We're going to first, does he have an amputation? No. The area is picking. Patient is unconscious. He's moaning. I'm going to have to put an NPA because I want to make sure his area stays open. I'm worried about his ability to keep it open. Four obstructions. Currently incident. Reflex intact. Thanks. All right. We're going to move to a crack. All right. We're going to move to a crack. Am I dead on this guy here? I'm happy to do that. We are going to identify the site. Mark it. I'm going to take my scalpel. I'm going to locate the position. Confirm with my non-dominant hand. I'm going to open my scalpel blade. I'm going to make one inch vertical incision. Re-assess. I'm going to make a horizontal incision. Finding patency in the hole. I'm now going to get my cricoid hook. Try to get the trach hook. Put it on here. Pull it back. Then I'm going to place this. I'm turning it in. Two. You'll say it goes one. It's frequency and call sign. Two. Two lemurs? No. Three is two alpha. They're both American service members. Right? Who are? There's more patient each. You're going to drive into a one-way station. You guys got all your gear? Yeah, I was going to get it close a little bit. He's actually breathing. All right. First we take for bleeding. Do a quick sweep. Be careful. You might get bit. Hmm. We got a commasal. This is for you, really. This is so cool. Okay, check for bleeding. You good? He's trying to bite me. He can't. It's all right, buddy. Here we go. You can see one here in the stomach. Right side. Over. Bleeding? Yeah. Right here on the side. Okay. You're going to turn it all over. Yeah, that's rolling. Like I said, this is a hot area. Oh, we should move him to a safer spot. Is there a safer spot that I am aware of? I see something on the floor here. Right here. Over here. Seven. To apply the needle chest decompression, we'll find the seventh intercostal space, perpendicular to the chest, bringing three inches. Move it so that it's a little more parallel. Good sign. If you don't hear it, hit the right spot. You hear air coming out. What's the next step? All right. We're going to move it forward. He's freezing fallage just a little bit. This is airway open.