Traumatic injury with foreign-object penetration to the neck!

In this traumatic injury with foreign-object penetration to the neck, what would be the most appropriate management by first responders?

1) Remove the foreign object completely

2) Leave the foreign object in place

3) Apply a cervical collar to stabilize the neck

4) Irrigate the wound with a low-pressure saline flush

5) Intubate the patient to ensure airway patency

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