A 37-year-old male was pinned between a flatbed truck and a loading dock. On exam, you find bruising to the chest, distended neck veins, bilaterally diminished breath sounds, and bilateral scleral hemorrhaging. You should:
a. suspect a severe hemopneumothorax.
b. perform a secondary assessment.
c. aggressively manage his airway.
d. request a paramedic ambulance.