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louiss

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  1. Well the interesting thing about CVA's in the field you do not know if you have a bleed or ischemia, 12 lead evaluation of the patient can lead to some ekg changes with some cerebral bleeds which you would see severe ischemic changes in the V leads, it takes less than a minute to do a 12 lead and that can be done enroute to the stroke center, your treatment is going to be supportive anyway. Just remember you can have both an infarct and a stroke in some patients.
  2. Look at the anatomy and note that the inferior vena cavae runs up the right side, by putting your patient on the left side it will move contents away from the vena cavae and you have better circulation, especially with pregnancy, the baby is moved off the vena cavae and now mom can get better circulation
  3. Some things to think about when anyone stands and gets dizzy, does that person have some sort of bleed internally. Pain to the legs could be poor circulation, think AAA or a dissection.
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