Q. A 51-year-old male is brought to the Emergency Department in a C-collar and strapped to a stretcher. He was extracted from the driver’s seat of a midsize car after having been involved in a head-on collision with a similar sized vehicle. Paramedics report the airbags deployed; however, the patient was not wearing a seatbelt. On physical examination, the cervical spine is adequately immobilized, neck veins are distended, heart rate is 90/min, blood pressure is 80/50 mmHg, and his respiratory rate is 32/min. The patient's breathing is labored, and he appears to be in acute respiratory distress. Auscultation of his chest demonstrates absent breath sounds in the right lung field. He has a large scalp laceration, and there is blood and pink-tinged fluid leaking from his nose. At this time, what should be your first priority?