You are caring for a male patient who was ejected from the passenger side of a vehicle that was traveling at a high rate of speed when it left the roadway and overturned several times. During your primary assessment, you note the patient to have blood in the airway, rapid and shallow breathing, an absent radial pulse, and a weak and rapid carotid pulse. You also visualize that his left leg is severely injured, with gross visible angulations from suspected multiple fractures. Your partner is triaging the other occupants of the vehicle and you can hear the wail of the arriving fire department vehicles. Given this situation, what should you do first?

A) Straighten the leg to minimize internal bleeding and then tend to the ABCs
B) Hold manual cervical spine motion restriction until the fire department EMTs arrive at your side
C) Initiate positive pressure ventilation without oxygen until the fire department EMTs can bring you an oxygen tank
D) Suction the airway with a hand-operated suction machine while trying to minimize cervical spine motion

D) Suction the airway with a hand-operated suction machine while trying to minimize cervical spine motion