You Are Called for a 78-Year-Old Female Who Fell Earlier

You are called for a 78-year-old female who fell earlier in the day. As you enter her kitchen, you observe her sitting in a chair with ecchymotic areas to her left cheek and left arm. There also appears to be blood on her pants. She is on oxygen and is breathing in a moderately labored manner. She states that she fell a few hours ago and now the pain and swelling in her arm are unbearable. Which one of the following would you do first?

A) Take manual in-line spinal stabilization.
B) Place a cold pack to her cheek.
C) Check her SpO₂ level.
D) Examine her arm for deformity.