Which scenario would classify as a "load and go" situation in trauma care?

In trauma care, a "load and go" situation refers to instances where a patient's condition necessitates immediate transport to a medical facility rather than prolonged on-scene care. This typically occurs when there are signs of significant injury or instability that require advanced medical intervention.

The scenario involving the patient with a blood pressure of 100/68 and significant right upper quadrant (RUQ) tenderness suggests potential internal bleeding or organ injury, which can rapidly lead to hemodynamic instability. The combination of lower-than-normal blood pressure and significant tenderness in the RUQ indicates possible serious abdominal trauma, warranting urgent transport to prevent deterioration.

The other scenarios present less immediate threat levels. A patient bleeding from an ear may have a serious condition, such as a skull fracture, but if they are stable, their transport may not be as urgent as indicated in a "load and go" situation. The patient with a deformed, tender forearm typically requires assessment and stabilization but is not in immediate life-threatening danger that would necessitate immediate transport. Finally, the patient who experienced brief loss of consciousness but is now alert may require monitoring but may not represent an urgent situation similar to the instability of the first option. Thus, the urgency of transporting the patient with significant RUQ tenderness