A 30-year-old female presents with sudden severe abdominal pain. What is an indication for rapid transport?

The indication for rapid transport in this scenario is confusion. When a patient presents with sudden severe abdominal pain accompanied by confusion, it can signal a serious underlying condition that may be life-threatening, such as internal bleeding or an acute abdomen leading to sepsis. Confusion often indicates that the patient may have compromised perfusion or altered mental status, which could suggest significant physiological changes requiring immediate medical intervention.

In cases of abdominal pain, the presence of confusion is critical because it suggests that the body is not adequately managing the distress, potentially reflecting a shock state or severe systemic response. Therefore, rapid transport is essential to ensure that the patient receives timely evaluation and treatment in a more advanced care setting.

The other factors, such as moderate vaginal bleeding, mild tachycardia, or normotension, while possibly concerning, do not carry the same immediate urgency as confusion, which signals a more systemic issue that necessitates swift action.