Emergency Department Management of Acute Intracerebral Hemorrhage - Stroke EXTRA Supplement (Stroke CME and Pharmacology CME)

Points and Pearls Excerpt

• Clinical characteristics (eg, hypertension, acute onset of headache, vomiting, gaze deviation, sensorimotor deficits) can help distinguish the presentation of ICH from acute ischemic stroke in the acute phase, prior to radiographic imaging.¹³
• Patients with cerebellar ICH may initially appear less ill than patients supratentorial ICH, but they are at higher risk for catastrophic deterioration.
• Initial management of ICH should be focused on assessing the airway, breathing capability, blood pressure, and signs of increased ICP.