ICH

EM@3AM: Spontaneous Intracerebral Hemorrhage

A 65-year-old male presents with altered mental status and right sided weakness. Symptoms began approximately two hours earlier when the patient began to complain of a severe headache. He has become more confused and is now unable to walk normally. Vital Signs: BP 202/98, HR 89, RR 12, T 36.7, SpO2 98% RA. Exam reveals an uncomfortable gentleman who is able to state his name, but unable to give the correct date or his location. He has profound right sided weakness in both upper and lower extremities. What’s your next step?

EM@3AM: Spontaneous Intracerebral Hemorrhage Read More »

EM Cases: Emergency Management of Intracerebral Hemorrhage – The Golden Hour

The skill with which you manage your patient with ICH in those first few hours could be the most important determinant of their outcome. In this Golden Hour you have a chance to prevent hematoma expansion, stabilize intracerebral perfusion and give your patient the best chance of survival with neurologic recovery.

EM Cases: Emergency Management of Intracerebral Hemorrhage – The Golden Hour Read More »