For Which of the Following Patients Being Carried Over Rough

For which of the following patients being carried over rough terrain would the administration of analgesia be appropriate?

A) An unresponsive 25-year-old man who was impaled in the chest with a small tree branch when he fell from a deer stand
B) A 16-year-old girl who was ejected from an all-terrain vehicle who is asking repetitive questions and has facial injuries
C) A 24-year-old woman who was thrown from a horse and complains of 3/10 wrist pain
D) A 35-year-old man who stepped in a hole while hiking and has an open fracture of the tibia and fibula