Hemorrhagic stroke early assessment: Difference between revisions
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===Emergent management may include=== | ===Emergent management may include=== | ||
Many centers have critical pathways developed for the treatment of acute ischemic stroke. | Many centers have critical pathways developed for the treatment of acute ischemic stroke. However, few have protocols for the management of [[Intracranial hemorrhage|ntracranial hemorrhage (ICH)]]. | ||
*Emergent management may include:<ref name="pmid17667882">{{cite journal| author=Cooper D, Jauch E, Flaherty ML| title=Critical pathways for the management of stroke and intracerebral hemorrhage: a survey of US hospitals. | journal=Crit Pathw Cardiol | year= 2007 | volume= 6 | issue= 1 | pages= 18-23 | pmid=17667882 | doi=10.1097/01.hpc.0000256146.81644.59 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17667882 }} </ref> | *Emergent management may include:<ref name="pmid17667882">{{cite journal| author=Cooper D, Jauch E, Flaherty ML| title=Critical pathways for the management of stroke and intracerebral hemorrhage: a survey of US hospitals. | journal=Crit Pathw Cardiol | year= 2007 | volume= 6 | issue= 1 | pages= 18-23 | pmid=17667882 | doi=10.1097/01.hpc.0000256146.81644.59 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17667882 }} </ref> | ||
**Neurosurgical interventions for [[hematoma]] evacuation, external ventricular drainage or invasive monitoring and treatment of [[ICP]] | **Neurosurgical interventions for [[hematoma]] evacuation, external ventricular drainage or invasive monitoring and treatment of [[ICP]] | ||
Revision as of 17:46, 9 November 2016
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Hemorrhagic stroke Microchapters |
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Diagnosis |
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Treatment |
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AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage (2015) |
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AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (2012) |
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AHA/ASA Guideline Recommendation for the Primary Prevention of Stroke (2014) |
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AHA/ASA Guideline Recommendations for Prevention of Stroke in Women (2014) Sex-Specific Risk Factors
Risk Factors Commoner in Women |
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Case Studies |
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Hemorrhagic stroke early assessment On the Web |
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American Roentgen Ray Society Images of Hemorrhagic stroke early assessment |
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Risk calculators and risk factors for Hemorrhagic stroke early assessment |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Early assessment
intracerebral hemorrhage (ICH) is a medical emergency. Rapid diagnosis and management is crucial because early deterioration is common in the first few hours after ICH onset.[1]
Prehospital Management
- Provide ventilatory support
- Provide cardiovascular support
- Transport the patient to the closest facility
- Plan for rapid transfer to a tertiary care center with crucial resources (such as neurology, neuroradiology, neurosurgery, and critical care facilities)
Emergent management may include
Many centers have critical pathways developed for the treatment of acute ischemic stroke. However, few have protocols for the management of ntracranial hemorrhage (ICH).
- Emergent management may include:[2]
- Neurosurgical interventions for hematoma evacuation, external ventricular drainage or invasive monitoring and treatment of ICP
- Blood pressure management
- Intubation
- Reversal of coagulopathy
References
- ↑ Moon JS, Janjua N, Ahmed S, Kirmani JF, Harris-Lane P, Jacob M; et al. (2008). "Prehospital neurologic deterioration in patients with intracerebral hemorrhage". Crit Care Med. 36 (1): 172–5. doi:10.1097/01.CCM.0000297876.62464.6B. PMID 18007267.
- ↑ Cooper D, Jauch E, Flaherty ML (2007). "Critical pathways for the management of stroke and intracerebral hemorrhage: a survey of US hospitals". Crit Pathw Cardiol. 6 (1): 18–23. doi:10.1097/01.hpc.0000256146.81644.59. PMID 17667882.