In the property, you are directed to a 25-year-old male with a gunshot wound to the left side of the chest. He is handcuffed on the floor and is shouting at the officers around him. You look him up and down and can see the gunshot wound to the chest. There is an entry wound, no exit, and it is bleeding profusely. 

You start your assessment, what is your first management 

You start to get you equipment ready, what can be done while this is prepared 

You get a colleague to place pressure on the injury site. The patient shouts in pain but it is working in slowing the bleeding. What should you apply first to help manage the chest injury haemorrhage 

You apply a dressing and place pressure over the wound. This slows the bleeding, but it continues to haemorrhage. What next action can you apply 

You put haemostatic gauze into the wound and place another dressing on top with pressure. This stems the bleeding further but there is still some flow from the wound. What further action can you do 

Applying another dressing on top has stopped the bleeding. The patient is now starting to get a little quiet. You continue assessing them. In major trauma cases, should you routinely give oxygen to a patient 

You administer oxygen via a face mask and continue to assess the patient. You feel a weak pulse at a rate of 120 beats per minute. You note their breathing rate is increasing and their skin has become pale and clammy. You can see the signs of shock setting in. In this case, what shock is it 

You advise that you require an ambulance as soon as possible to which they respond there’s one on the way. What can you do for the patient to try and better their circulation 

You raise the legs of the patient to try and help with circulation. You continue to assess the patient but find no other signs or symptoms. What further basic actions can be done in a major trauma case to help manage the patient