ABC EMS Solutions LLC

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Photos from Texas Task Force 2's post 02/17/2026
01/14/2026

A 68-year-old man with known hypertension and type 2 diabetes suddenly develops drooping on the left side of his face and difficulty speaking. According to his spouse, he was acting normally about 30 minutes earlier. He can follow instructions but becomes visibly irritated because his speech is unclear. His vital signs include a blood pressure of 170/90 mmHg, heart rate of 110 beats/min, respiratory rate of 18 breaths/min, and oxygen saturation of 98% on room air. Capillary blood glucose is 120 mg/dL. Based on this presentation, what immediate prehospital interventions should be initiated prior to transport?

Choose the three most appropriate responses.

A. Perform a prehospital 12-lead cardiac rhythm assessment

B. Expedite transport to the closest facility equipped for acute stroke care

C. Provide advance notification to the destination hospital with suspicion of stroke and pertinent assessment details

D. Give 324 mg of aspirin by mouth, ensuring it is chewed

E. Position the patient with the head elevated approximately 30 degrees

F. Accurately record the patient’s last time observed at neurological baseline (“last seen well”)

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