What is your first action upon finding an assault victim with severe labored breathing and jugular venous distention?

In a scenario involving an assault victim with severe labored breathing and jugular venous distention, the appropriate first action is to immediately request Advanced Life Support (ALS) support. This situation indicates a potential life-threatening condition, such as pneumothorax or cardiac tamponade, especially given the presence of jugular venous distention, which signifies increased pressure in the thoracic cavity or heart.

Severe labored breathing suggests that the victim is struggling to get adequate oxygen, and ALS can provide advanced interventions beyond the scope of basic life support, such as advanced airway management, medication administration, or other critical procedures. Getting ALS on the scene as soon as possible is vital for optimal patient care and outcomes, as these professionals can stabilize and manage complex medical conditions effectively.

Other actions such as obtaining vital signs or performing a secondary exam can provide additional information, but they are not priorities in this acute situation where the patient's airway, breathing, and circulation are compromised. Addressing life-threatening issues is crucial, and therefore, requesting ALS support first ensures that the patient receives the most immediate and appropriate care.