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You have arrived on the scene of an assault involving a knife. Assessment of the unresponsive 21-year-old male reveals him to have sustained multiple lacerations to the arms and abdomen, with a section of his intestine protruding through a large laceration in the area around the umbilicus. He has lost a significant amount of blood. His airway is open and he is breathing poorly at a rate of 28 breaths per minute. His radial pulse is weak, and his skin is cool and pale. Which one of the following should the EMT do first?
Lacunae
Lacunae are small cavities in bone or cartilage tissue that house cells, such as osteocytes in bones, providing a microenvironment for cell maintenance and nutrient exchange.
Canaliculi
Small, channel-like structures in bone that allow for the communication and nutrient exchange between osteocytes (bone cells) and their environment.
Periosteum
Except for the joint areas, the bones are enveloped by a dense connective tissue layer that contains many blood vessels.
Trabeculae
The network of fine, bony spicules within the structure of certain bones, such as the spongy part of bone, that adds structural support while minimizing weight.
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