You are working at a community site when A 52-year-old patient is rushed to your resuscitation room and upon arrival coughs up what appears to be a cupful of blood. According to EMS this has been going on every few minutes over the past half hour. No further history is available. Patient appears lethargic and unable to provide more history. He appears to be gurgling with extensive upper airway sounds. Initial vitals include BP 89/65, HR 134, Saturation on 6L nasal 89%. Which is TRUE about management of this patient’s airway?