Answer:
Vascular headaches are historically a sign of underlying cerebral vascular disease. The patient reports a history of vascular headaches to a paramedic on the scene and the paramedic should check his blood pressure of the patient.
If it is elevated, the paramedic should notify medical control and request a stat head CT. If the patient’s blood pressure is normal or low, then the paramedic should continue assessing the patient for any other signs of cerebrovascular accidents.
Explanation:
Vascular headache is a special category of headache whose characteristics strongly suggest the etiology of vascular origin; they are thought to be due to intermittent or sustained vasodilatation. The alterations in blood flow can occur due to blood pressure changes, atherosclerotic plaques, or due to vascular spasms.
The dysfunction of the blood vessels supplying the brain will cause increased blood pressure. This will cause pain.
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