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If following protocol results in 'suspicious circumstances surrounding death', isn't that pretty much the same as saying, "Yeah, we killed the old bird."? Since you are the cause of the 'suspicious circumstances' surrounding the death of this woman, (and you've essentially admitted to being the cause), aren't you setting yourself up for criminal prosecution as well as setting the company up for civil liability? As far as not applying a monitor, I'm just as confused as everybody else. How can you even begin to think you're geting a 'clear picture' of what's going on with the patient if you don't use the diagnostic tools at hand? In reference to the post where the patient had a valid DNR and said "Help me!", I have to agree, that simple statement completely negates the DNR, even if the ink on it isn't dry.

Step 1: Curse, defecate in pants. Step 2: Call medical control, who will almost definitely tell you to honor the DNR. Step 3: Worry. Hope that nothing comes of it even though you did nothing wrong.

Unfamiliar with local protocols, but- I would give the GSW to the BLS guys, Start a couple large bore IV's(omit this if the BLS guys cannot transport with the IV's) 100% O2, high flow, treat for shock, bleeding control. MAST pants if applicable, treat for shock, and tell them to run like hell.. Why? Because other than large bore IV's, there is nothing more an ALS provider can do prehospitally for a GSW to the abdomen- at least until they arrest. Unclear where that bullet went, or where the damage is. I would do the same treatment for the SW, but would take this patient because if they do develop a pneumo or tension pneumo, we can decompress that, whereas a BLS guy cannot. In a triage situation, both patients would be considered reds or critical, so in your scenario, you need to dig deeper and consider the details and make a judgment call.

At least they weren't shooting at you.