Intracerebral hemorrhage.
There is a significant variation in the management of ICH by neurologists, neurosurgeons, and emergency physicians. Most of the randomized clinical therapeutic trials have focused on subarachnoid hemorrhage (SAH) and acute ischemic stroke (AIS). Well-organized practice guidelines are now available for the management of ICH. Exciting research areas are being aggressively explored. Medical and surgical interventions for SAH, AIS, and ICH are always time-dependent, which places additional responsibility on the EP to correctly and promptly recognize these conditions to prevent further injury. The time-dependent care of these patients places the EP on the front lines of future stroke care. Special thanks to Dr. Daniel Woo and Dr. Stewart Wright for their assistance in reviewing the manuscript and Amy Hess for preparation of the manuscript.
Panagos
Peter D
PD
Department of Emergency Medicine, University of Cincinnati Medical Center, P.O. Box 67069, Cincinnati, OH 45267-0769, USA. panagopd@uc.edu
Jauch
Edward C
EC
Broderick
Joseph P
JP
D000465:Algorithms; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy*; D003952:Diagnostic Imaging / Q000379:methods; D004632:Emergency Medical Services; D006801:Humans; D006973:Hypertension / Q000628:therapy; D007022:Hypotension / Q000628:therapy; D019586:Intracranial Hypertension / Q000628:therapy; D012307:Risk Factors