You are dispatched to respond to a 4 month old boy with difficulty breathing. You arrive at the home and see the baby in his mother's arms. He is pale and has mottled skin. His mother says he is very lethargic and has cold hands and feet. What should your next steps be?
A) apply cardiac monitor to identify rhythm and monitor pulse, BP, and oximetry
B) establish IV/IO access
C) complete the initial and primary assessment
D) obtain 12-lead ECG
E) maintain a patent airway
F) begin CPR