A 22-year-old male has a shard of glass impaled in his cheek. He is conscious and alert with adequate breathing. What should you do?

Stabilizing the shard of glass is critical because removing it could cause additional damage to the surrounding tissue and increase the risk of bleeding or further complications. By carefully stabilizing the impaled object, you reduce movement that could exacerbate the injury while still allowing the patient to maintain his airway and breathing.

Allowing the patient to suction his own mouth is reasonable in this scenario since he is conscious and able to participate in his care. This approach helps maintain his airway by clearing any blood or secretions that may obstruct breathing.

Transporting the patient immediately to the hospital is certainly important, but it should be done after ensuring that the patient is stable and that the injury is adequately managed in the pre-hospital setting. Additionally, inserting an airway adjunct in this case may not be necessary because the patient is alert and breathing adequately on his own.

In managing such injuries, the primary focus is on preventing further harm while also ensuring that the patient's breathing remains adequate until definitive care is provided.