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Immediate ERP activation with CPR/AED saves lives. Delays reduce survival rates. Physician consultation or waiting is inappropriate in emergencies. ACSM mandates ERP readiness and decisive action in cardiac arrest scenarios.

Accurate documentation ensures continuity of care, legal protection, and patient safety. Recording only abnormalities misses progression tracking. Memory-based or absent records expose liability. ACSM requires detailed documentation for all clinical sessions.

Unstable angina poses extreme risk during exercise testing. Controlled asthma and mild valvular disease are relative considerations. SBP 138 is normal. ACSM lists unstable angina as an absolute contraindication.

A hypertensive response is a relative indication, meaning the test may continue with caution or be stopped depending on context. Severe angina, SBP drop, and ST elevation are absolute termination criteria. ACSM distinguishes between relative vs absolute to guide safe decision-making.

Signed informed consent is required legally and ethically. Without it, patients cannot participate. Verbal agreements or ignoring consent exposes liability. ACSM requires documented consent before supervised programs.