You Are on the Scene of a Church Bus Roll-Over

Multiple Choice

You are on the scene of a church bus roll-over collision.There are 30 passengers involved.As triage officer,which one of the following patients should you assign the highest priority?

A) 30-year-old man with multiple lower extremity fractures who is awake, has a strong radial pulse, and is complaining of severe pain
B) 35-year-old pregnant woman with a cut on her head, neck pain, and numbness and tingling in her arms
C) 70-year-old woman who is awake but having difficulty breathing and has absent lung sounds on the right side
D) Unresponsive 9-year-old male with an open skull fracture who is in cardiac arrest