A 35-year old male involved in a high-speed MVC is brought into your ED whose thigh is actively bleeding. He is screaming in pain. His vitals include a heart rate of 115, BP of 100/60, respiratory rate of 20 and oxygen saturation of 99% on room air. EMS informs you that he lost several litres of blood at the scene and are concerned for an arterial bleed. Your first step is:

About the Author: Anton Helman

Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.