He was dead on arrival, shot in the heart. That was my first real trauma ... pretty much worse thing ever. and I definitely want to learn from what was going on. I think we could have done the thoracotomy sooner and gotten more blood to him sooner. He was 17 so I'd like to come out thinking we did everything perfect and he still died. We didnt do it perfectly. Our hospital's location is closer to the violence that happens with guns and stabbings, the trauma hospital is farther and in the upscale neighborhood... seems backwards like we should have a trauma team also.