Call for ALS.
70-year-old female patient complaining of generalized weakness.
Vitals were within the normal range.
I immediately noticed the patient was slurring her speech. I asked the staff if this was normal, and they said yes, but it was much worse today. MLAPS was performed. Grip strength was equal, and smile was equal. Unable to perform the arm drift test because the patient could not keep her arms up. The patient was complaining of extreme dizziness. The patient is usually able to get up and walk around with a walker, but today could not take two steps without it. The patient stated she was experiencing blurry vision; she said she could see two lamps in her room (there was only one). I called a potential stroke for unsteady gait, blurry vision, dizziness, and worsening slurred speech.
Board and Care staff, as well as ALS (Fire), made it seem like I was overreacting for calling a potential stroke and requesting an ALS assessment. Fire did not think this was an ALS call.