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A 24-year-old man is brought to a regional emergency department after his motorcycle struck a guard rail. The ambulance officers report that he lost his output during the last five minutes of transport. He makes no respiratory effort and no central pulse can be felt. A windlass tourniquet has been applied above an open wound over the medial thigh and the bleeding has stopped. The monitor shows regular narrow complexes at 50 per minute. The bag is becoming harder to squeeze, the chest is barely rising despite a good mask seal, and the breath sounds cannot be heard on either side. Which one of the following should the team leader direct next?
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