1545: 60-year-old male arrived at the emergency department (ED) by EMS. The client was outside gardening and collapsed in his front yard. Upon arrival, the client could not communicate with staff, had obvious left-sided facial drooping, and was unable to perform any other tasks when instructed. The client could not even nod to yes/no questions. Pupils were reactive to light and 4 mm in size.

12-lead Electrocardiogram: Atrial fibrillation

Temperature 98.0° F (37° C)

Pulse 79/minute

Respirations 14/minute

Blood Pressure 174/108 mm Hg

Oxygen saturation 95% on room air