A 45-year-old construction worker presents to the emergency department after his hand got caught and pulled by a rotating machine, resulting in a severe degloving injury. The skin and soft tissues are extensively peeled back from the underlying muscles. In managing this wound, what is the most appropriate initial intervention?
Clean the wound aggressively with iodine and cover with a dry bandage.
Cover the injury with a clean, moist sterile dressing and elevate the extremity.
Apply a tourniquet above the site of the injury to minimize blood loss.
Immediately suture the degloved skin back to its original position.