At a construction site, an 18-year-old male was struck in the head by a pallet of concrete blocks as it was being moved by a crane. He has a large laceration to the left side of his head with noted instability to the skull beneath the wound. Moderate bleeding from the injury site is also noted. His airway is open, his breathing is adequate, and his pulse is strong and regular. Proper care for

this patient should include:

A) hyperventilation with high-concentration oxygen.
B) direct pressure to control bleeding from injury.
C) rapid transport in an upright position.
D) loose dressing over the top of the laceration.

D