Major Trauma with Polytrauma and Transfusion Reaction

You are the emergency anaesthetist working in a major hospital. You receive a call alerting you to the arrival of a patient in ten minutes. The ambulance service is bringing a 27-year-old male who has fallen from a height of 5-10m. He is reported to have: GCS 7 SBP 80 mm/hg HR 125 bpm Oxygen saturation 89% on Oxygen 6l/min Pupils fixed at 4mm En route the ambulance performed a right-sided needle thoracostomy. The patient has IV access x2, a pelvic binder and cervical collar and has not been intubated. Theatre will not be available for at least 45 minutes.