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Overview of Hemorrhagic Stroke Care in the Emergency Unit

  • Natalie Kreitzer
  • Daniel Woo
Chapter
Part of the Stroke Revisited book series (STROREV)

Abstract

Spontaneous intracerebral hemorrhage (ICH) is a neurologic emergency. Patients presenting to the emergency department (ED) with ICH must be rapidly diagnosed, managed, and transported to an ICU or operating room. Emergency physicians must be prepared to stabilize and diagnose patients with ICH in a timely fashion and have knowledge about the underlying disease process and the evidence supporting various treatment modalities. In combination with rapid diagnosis, appropriate treatment of elevated blood pressure and coagulopathy, and preparedness for common pitfalls related to ICH, patient outcomes can be substantially improved. ICH occurs without warning, has a high mortality, and leaves many survivors with significant disability. Nevertheless, outcomes have improved over the last several decades due to advances in emergency and critical care. Although once thought of as a uniformly devastating disease, many patients have improved mortality and morbidity following ICH thanks to several recent advances and new studies that have been published. In particular, recent studies pertaining to the management of patients with ICH and concomitant antiplatelet medications, anticoagulation, and hypertension are critical for the practicing emergency physician. This chapter describes the current evidence as it pertains to emergent treatment of ICH.

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Copyright information

© Springer Science+Business Media Singapore 2018

Authors and Affiliations

  1. 1.Department of Emergency Medicine and Division of Neurocritical CareUniversity of CincinnatiCincinnatiUSA
  2. 2.Department of Neurology and Rehabilitation MedicineUniversity of CincinnatiCincinnatiUSA

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