Paramedics arrive on scene of a motor vehicle collision with four patients. The collision site is 40 minutes by ambulance to the nearest hospital. Which of the following patients is the top priority to use air medical transport to get to the hospital?
a) 29-year-old female with bilateral wrist fractures and neck pain
b) 27-year-old male with abdominal pain, and a fractured collar bone
c) 32-year-old male with a pelvic fracture and pressure of 70 systolic
d) 35-year-old female with a fractured radius and ulna with vitals stable