A 28-yeаr-оld mаle is brоught tо the emergency depаrtment after a motorcycle crash. He is conscious but confused and reports severe abdominal pain. Assessment findings include a hoarse voice, respiratory rate 32/min, decreased breath sounds on the left, heart rate 120 bpm, blood pressure 90/60 mmHg, and abdominal distension. Which action should the nurse prioritize during the primary survey?