<< Intracerebral Hemorrhage In Anticoagulated Patients: Evidence-Based Emergency Department Management (Stroke CME)

Prehospital Care

Regardless of the etiology of a stroke, the priorities of prehospital care in the setting of suspected ICH are to communicate with the ED, provide appropriate airway support, obtain history from the scene, and rapidly transport patients to the appropriate facility.28 These are not unlike the priorities for ischemic stroke, given that these patients will be undifferentiated from each other prior to hospital arrival.28 Whenever possible, emergency medical services (EMS) should provide hospital prenotification of a possible stroke patient. In the setting of stroke, prenotification has demonstrated a decrease of 17% in the time elapsed between patient arrival to the ED and CT.53

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