Paramedics arrive on scene of a motor vehicle collision with 4 pt. The collision is 40 min by ambulance to the nearest hospital. Which of the following pt is the top priority to use air medical transport to get to the hospital?

A) A 29 yo F with bilateral wrist fractures and neck pain
B) A 27 yo M with abdominal pain and a fractured collar bone
C) A 32 yo M with a pelvic fracture and a pressure of 70 systolic
D) A 35 yo F with a fractured radius and ulna with stable vitals