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[779] While there may be variance between jurisdictions, the protocols for many EMS systems currently providing WBT are designed for patients who require complex management at the advanced life support level, demonstrating suspicion of blood loss along with evidence of physiologic shock as indicated by parameters such as low blood pressure, an elevated pulse rate, or slow capillary refill

The deficiency of vitamin B 12 can arise from its lack in ones diet or a defect in gastrointestinal absorption [76]