Consider a rendezvous with ALS for more aggressive treatment if:

• A. Transport time is short
• B. Vital signs are stable
• C. All of these answers are correct
• D. The patient refuses transport

Answer: (C)

Arranging a rendezvous with ALS is about timing and the opportunity to provide advanced care without delaying definitive treatment. Each factor described helps justify bringing ALS into the plan.

Short transport time means ALS can meet en route or on arrival without causing a delay to definitive care, so advanced interventions (like airway management or IV meds) can begin sooner rather than later. The patient’s vital signs being stable indicates there isn’t an immediate deterioration forcing rapid transport, giving you a window to coordinate care with ALS and still get them to the hospital promptly. If the patient refuses transport, you must respect autonomy, but having ALS available allows you to provide higher-level treatment on scene or during transport discussion, which can address concerns and potentially stabilize the patient enough to revisit the transport decision.

Because each scenario supports enhancing care through ALS assistance, all of these conditions together justify pursuing the rendezvous.