A 77-Year-Old Man Presents as Hypertensive with Crackles in All

A 77-year-old man presents as hypertensive with crackles in all lung fields. The patient is tachypneic and has a history of MI, CAD, and CHF. His SpO₂ is 78% on room air and he takes an extensive list of medications. He is 60 minutes away by ground from the closest hospital. Which of the following is TRUE regarding this patient?

A) Air transport should be requested, as this is a critical patient.
B) This patient should be transported by ground, as ALS level care will likely improve all of his symptoms.
C) This patient should be treated on scene with nitroglycerine and CPAP, and released once his symptoms have resolved.
D) Medical direction is required in this situation, as the patient is likely to present with multiple complications during treatment.