What pre-evacuation measures should be taken for a casualty with a gunshot wound?

The correct response identifies critical pre-evacuation measures that align with the Tactical Combat Casualty Care (TCCC) principles for managing a gunshot wound. Controlling bleeding is crucial, as hemorrhage is a leading cause of preventable death on the battlefield. Techniques such as applying direct pressure, using a tourniquet for limb injuries, or packing the wound with hemostatic dressings can significantly improve the casualty's chances of survival.

Establishing an airway is the next vital step because gunshot wounds may compromise airway integrity, particularly if there are associated injuries to the neck or face. Ensuring that the casualty can breathe effectively is paramount in maintaining oxygenation.

Monitoring vital signs is essential for tracking the casualty's condition and determining the effectiveness of the interventions being provided. This includes observing changes in heart rate, blood pressure, and respiratory rate, which can provide indicators of the casualty's stability or deterioration.

The other measures listed do not conform to the immediate priorities in this scenario. Providing a sedative may be appropriate in some contexts, but in an emergency situation related to gunshot wounds, it may compromise the casualty's ability to maintain an airway or respond appropriately. Applying ice to the wound is not a recognized treatment for gunshot injuries and