You are on the scene of a single-vehicle rollover collision in which the two teenage occupants were ejected. Both patients are seriously injured. Yours is the only transporting vehicle on the scene and you are the only paramedic, but there are two volunteer EMTs and two first responders on the scene. Helicopter transport is not available. There is a small community hospital 23 miles away but a
larger level II regional trauma center 40 miles away. The closest BLS transporting unit is 18 miles away. Which of the following is the best transport decision?
A) Transport both patients in one unit to the community hospital.
B) Transport the first patient to the community hospital while one EMT and one first responder remain with the patient, then immediately return to the scene for the second patient.
C) Transport both patients in one unit to the regional trauma center.
D) Transport the first patient to the community hospital while one EMT and one first responder wait on the scene for the BLS transport unit.
C
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