What is a criterion for immediate transfer not requiring a 911 ambulance according to policy 620?

Immediate transfer not requiring a 911 ambulance is typically reserved for patients who are stable enough that their situation does not pose a significant threat to their life or require emergency transport. The correct choice indicates that a pelvis ring disruption falls into a category where, under specific conditions outlined in policy 620, it can be managed without the immediate need for emergency services.

Pelvic ring disruptions can vary in severity. If the patient is conscious, stable, and does not exhibit life-threatening symptoms, the situation may allow for transfer without the need for ambulance intervention. This underlines a key aspect of emergency medical protocols—prioritizing the use of resources for patients who are in critical condition while allowing for the appropriate management of less urgent cases.

Other conditions listed, such as major rib fractures or cardiac injuries that might not be life-threatening, can have unexpected complications and generally warrant a higher level of care provided by an ambulance. A conscious and stable patient, while seemingly low-risk, might still be safer to monitor closely in an emergency setting rather than transferring them without immediate medical support.