Advanced Cardiovascular Life Support (ACLS) Practice Exam

You receive a report of a potential acute stroke patient, but the CT scanner is not working. What should you do?

1. Hold the patient for further evaluation

2. Divert the patient to a hospital 15 minutes away with CT capabilities

3. Transfer the patient to a different facility without delay

4. Begin immediate treatment based on symptoms

The correct answer is: Divert the patient to a hospital 15 minutes away with CT capabilities

Diverting the patient to a hospital with CT capabilities is essential in the management of a suspected acute stroke. Time is a critical factor in stroke treatment, particularly in the context of intravenous thrombolysis, which can significantly improve outcomes if administered within a specific window of time. A CT scan is crucial for determining whether the stroke is ischemic or hemorrhagic, as the treatment strategies differ significantly between these types. By diverting the patient to a nearby facility that has a functional CT scanner, you allow for timely imaging and subsequent treatment, greatly enhancing the chances of a favorable outcome. This decision reflects the principle of maximizing the opportunity for appropriate intervention, especially within the critical timeframe in stroke management. Holding the patient or transferring them to a facility without delay might lead to undesirable delays in treatment, ultimately risking irreversible brain damage. Starting treatment based on symptoms alone, without imaging to confirm the type of stroke, can lead to complications and inappropriate management. Therefore, utilizing a hospital with the necessary diagnostic capabilities is the most responsible and medically sound course of action.