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The patient should be transported to the nearest trauma center for evaluation. If there is evidence of bleeding into the airway, the patient should be positioned so that blood is not aspirated. Suction devices should be available at the bedside. If the trachea is severed, it should be kept open and free of clots. Bleeding sites should be compressed until definitive therapy is available. Vital signs and cardiac rhythms should be continuously monitored. For patients who cannot protect their airways, intubation and mechanical ventilation are required.