You are dispatched to a near head-on collision. You are assessing the driver of one of the vehicles while a second unit assesses the other. The patient is a 21-year-old female who is alert and oriented. She was wearing her seatbelt and the air bag did deploy. Her pulse is 128, respirations 22 and blood pressure is 110/60. She has pale, cool and clammy skin. You notice her abdomen is rigid and tender to palpation. Which of the following is the most appropriate for this patient?
A) Apply a cervical collar, remove the patient onto a long backboard and apply high-flow/high-concentration oxygen enroute to the nearest trauma center
B) Apply high-flow/high-concentration oxygen by nonrebreather, apply a cervical collar, rapidly extricate the patient onto a long backboard, treat for hypoperfusion, and transport to the closest appropriate hospital
C) Apply high-flow/high-concentration oxygen, apply a cervical collar, rapidly extricate the patient using a short spinal immobilization device, secure the patient to a long backboard and transport to the closest trauma center
D) Apply a cervical collar, place the patient in a short spinal immobilization device, remove the patient from the vehicle onto a long backboard, and perform a detailed physical exam
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