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A 72-year-old male presents with sudden-onset right-sided facial droop, left arm and leg weakness, and slurred speech that began 45 minutes ago. His BP is 210/115. What is the MOST important prehospital intervention?

Administer IV labetalol to reduce BP to 180/100 Establish IV access, perform stroke assessment, and expedite transport to a stroke center Administer aspirin 324 mg and transport Obtain 12-lead ECG to rule out cardiac cause