Devitalized Tissue in Surgery — 33yo Man | Trauma Surgery | SMLE Q#14337

A 33-year-old man is brought to the emergency department by ambulance after a high-speed motor vehicle collision. He is conscious, alert, and speaking in short sentences but is visibly anxious. There is an open, ragged wound on the anterior surface of the neck with devitalized tissue and active oozing; the anatomy of the larynx and trachea is distorted, and there is bubbling of air from the wound with each breath. Vital signs: T 37.0 °C, BP 100/60 mmHg, HR 104 /min, RR 28 /min, SpO2 87% on room air. Breath sounds are present bilaterally. Which of the following is the most appropriate next step in airway management?