[Expert Solution]: You are asked to tier with a BLS ambulance…

You are asked to tier with a BLS ambulance that is transporting an 89-year-old male with a suspected GI bleed. The patient is pale, cool, and diaphoretic with absent radial pulses. When you introduce yourself, the patient looks at you and speaks in a soft voice. After two failed IV attempts, you establish an IO. Next, you Administer 40mg lidocaine 2% and let it sit for about 2 minutesFlush the needle with 10mL normal saline, in 2mL aliquotsPlace a pressure infusion bag around a 1000mL bag of normal salineSlowly administer 50mcg Fentanyl, followed by a 10mL saline flush