A 32-year-old man is injured by a single gun shot wound in the right upper abdomen. He arrives to the emergency department in shock. A FAST exam suggests blood in the abdomen and right thorax. A chest tube is placed, a massive transfusion protocol is initiated and he is taken to the operating room. A midline laparotomy and a right anterolateral thoracotomy is performed, encountering profuse bleeding from an injury that traverses the liver from segment V through segment VIII, through the diaphragm, the right lower lobe of the lung, and into the spine. A Sengstaken-Blakemore tube is used to stop the bleeding. He then undergoes resuscitation in the ICU followed by angioembolization. The patient ultimately undergoes a partial hepatectomy after a post-operative liver ischemia and a bile leak, and is successfully discharged to neurologic rehab 27 days after injury. Video is obtained during the emergent case through both head-mounted and handheld cameras. High-quality graphics are used to provide the viewer with a sense of immersion and understanding from the perspective of the treatment team.