Which of the following is not an appropriate action after Key Question 4 is answered Yes in Protocol 18?

• A. Ask Key Questions 5, 6 and 7, then complete the Stroke Diagnostic Tool
• B. Shunt to Protocol 12
• C. Complete only the Stroke Diagnostic Tool
• D. End the call after the Stroke Diagnostic Tool

Answer: (B)

When Key Question 4 is answered Yes, the caller is presenting a scenario that fits the stroke pathway, so you stay within the stroke protocol flow to gather essential information quickly. Shunt to Protocol 12 would divert you away from the stroke-specific assessment, risking delays in activation and appropriate hospital notification. The correct approach is to continue the stroke workflow by asking the remaining stroke key questions (to gather details like onset time, symptom progression, and deficits) and then complete the Stroke Diagnostic Tool. This sequence provides the necessary context to determine stroke likelihood and guide transport decisions. Completing only the Stroke Diagnostic Tool or ending the call after the tool would omit important information and actions needed to optimize patient care.