You are attending to a patient suffering from a blunt trauma…

You are attending to a patient suffering from a blunt trauma to the chest, which resulted in respiratory distress, cyanosis, hemoptysis, and massive subcutaneous emphysema. You have intubated this patient and initiated positive pressure ventilations. Compliance is minimal and lung sounds are diminished bilaterally. Which of the following should be your NEXT action?

Your patient had a major laceration of the brachial artery….

Your patient had a major laceration of the brachial artery. After you controlled the bleeding, the patient wanted to refuse transport; however, when the patient stood up, the systolic blood pressure dropped by 30 mmHg. Which of the following BEST explains this situation?