A 54-year-old female presents with dizziness and high blood pressure. What should you do next?

In this scenario, the highest priority is to ensure the patient is transported for further evaluation and treatment, particularly given her symptoms of dizziness and high blood pressure. These signs can indicate underlying conditions such as hypertensive crisis, stroke, or other cardiovascular issues that require immediate medical attention.

Transporting the patient allows for appropriate monitoring and interventions that cannot be performed in a pre-hospital setting. While providing high-flow oxygen or positioning might seem beneficial, the immediate need is to ensure the patient is assessed by medical professionals who can provide definitive care and support.

Positioning the patient in a Trendelenburg position is typically used to treat shock or hypotension, which is not indicated here as the patient is experiencing high blood pressure. Administering oxygen, while generally a good practice for patients with respiratory distress or other issues, must be guided by the presence of hypoxia or respiratory compromise. Therefore, the best choice is to transport the patient for further management and evaluation.