Which one of the following patients would justify the need to directly transport to a trauma center based on special patient considerations?
A) An unlicensed teenage driver who has a pulse rate of 120 after a MVC and a 4 minute EMS response
B) A pregnant female in the third trimester who is spotting (showing small amounts of vaginal bleeding) following a low mechanism of injury MVC
C) An end-stage renal disease (ERSD) patient who tripped and fell and is complaining of shoulder pain on the same side as his shunt
D) An elderly patient on anticoagulants who slipped out of her wheelchair and is complaining of pelvic pain
B
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