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Concur with all the above - surgical airway, decompress chest etc - but would make sure he gets a Pelvic Binder when boarded - instability mentioned - probably the biggest cause of the hypovolemia? My view is that this guy needs minimal interventions on scene (IV etc) and maximum diesel and...

Would you stop talking about yourself in the third person FFS. Whatever clinical efficacy your statements may or may not have, doing that constantly has my "cock" meter pegged. Taking the piss is an English colloquialism that means to rib someone or wind them up :)