Your casualty has a gunshot wound to the left knee and shrapnel to the right calf. You can detect PRESENT radial pulses. You attempt IV access twice but fail. What do you do now?

In this scenario, where the casualty has sustained a gunshot wound and shrapnel injury but still maintains present radial pulses, the priority is to continuously assess the patient's condition. Maintaining an ongoing assessment allows you to monitor for any changes in vital signs, consciousness, and overall stability.

Keeping track of the casualty's condition is crucial, as it provides insight into whether their state is worsening or improving. Notably, while intravenous access is important for fluid resuscitation and drug administration, attempting it multiple times without success could waste valuable time. Given that the presence of radial pulses indicates that the patient may still have adequate circulation at the moment, the focus should shift to continual monitoring and reassessing the need for interventions.

In a situation like this, calling for help might also be important, especially if advanced care or additional resources are needed. However, without losing sight of the immediate assessment and monitoring of the casualty, continued evaluation takes precedence to ensure appropriate responses based on their evolving condition.