You are caring for a man who had his arm mangled by a piece of farm equipment. Bleeding has been controlled with a tourniquet; however, the patient is hypotensive and tachycardic. He has an extensive cardiac history and takes Pradaxa. There is a community hospital 18 minutes away by ground, a level III trauma center 40 minutes away by ground, and a level I trauma center 30 minutes away by air

You should:

A) transport to the community ER so he can receive a blood transfusion.
B) transport by ground to the level III facility, as they have the resources to stabilize the patient.
C) call for air transport to the higher-level trauma center.
D) call for air transport, but tell them to fly to the level III trauma center, as it is closer.


C

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