Final answer:
The multisystem trauma victim would most likely be transported to the closest emergency department for initial management.
Step-by-step explanation:
The patient who is most likely to be transported to the closest emergency department, rather than a specialty facility for initial management, is the multisystem trauma victim. In cases of severe trauma, time is critical and it is important to stabilize the patient and provide immediate medical intervention. The closest emergency department would be able to provide the necessary resources and expertise to manage the patient's injuries and potentially save their life.