An 84-year-old male complains of right-sided weakness and has a history of hypertension. What should you do?

In cases of sudden onset weakness, especially when accompanied by a history of hypertension, there is a significant concern for a possible stroke or transient ischemic attack (TIA). The rapid assessment and management in such situations are critical. Notifying the receiving hospital of your findings, including the patient's age, symptoms, and medical history, is essential for several reasons.

First, it allows the hospital to prepare for the patient's arrival. Advanced stroke care is time-sensitive, and informing the hospital can initiate protocols such as a stroke team alert. This timely notification can lead to rapid diagnostic imaging and treatment, such as the administration of thrombolytics, if appropriate.

Furthermore, hospitals often have specific guidelines they follow when dealing with potential stroke patients, including protocols for triage and intervention. By communicating the patient's condition early, you can facilitate a smoother transition to definitive care, which is crucial for the patient's outcomes.

In this scenario, while oxygen administration may be necessary if the patient is hypoxic, it does not directly address the underlying condition or prepare for stroke management. Assisting with insulin would be irrelevant unless there were signs of hypoglycemia, which isn't indicated here. Thus, focusing on notifying the receiving facility ensures the patient receives timely and appropriate care for their acute condition