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Round 20 (MW) – Weakness

Author
Zack Olson, MD and Michael Estephan, MD
Published
Wed 01 May 2024
Episode Link
https://www.emclerkship.com/2024/05/01/round-20-mw-stroke-symptoms/




You are working at Clerkship General when one of the nurses comes and grabs you. “Hey doc, we need you in bed 10. I think this patient is having a stroke.”











Initial Vitals:











HR: 51











BP: 201/98











Temp: 98.0F











RR: 18











O2: 99% (Room Air)











Critical Actions:














* Check a Blood Glucose











* Activate a Stroke Alert











* Assess Contraindications to tPA











* Consent for tPA











* Transfer via Air for Thrombectomy



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