title: Intracerebral Hemorrhage In Anticoagulated Patients: Evidence-Based Emergency Department Management.
abstract: Spontaneous intracerebral hemorrhage is a true neurological emergency, and its management is made more complicated when patients are anticoagulated, as reversal of anticoagulation must be initiated simultaneously with diagnosis, treatment, and disposition. Recent advances such as newer laboratory testing and rapid computed tomography for diagnosis, blood pressure reduction to reduce hematoma expansion, and new anticoagulant reversal agents may allow for improved outcomes. Management of intracranial pressure is particularly important in anticoagulated patients, as is identifying patients who may benefit from rapid neurosurgical intervention and/or emergent transport to facilities capable of managing this disease.
authors.affiliation: Assistant Professor of Emergency Medicine; Fellow, Neurocritical Care and Neurovascular Emergencies, University of Cincinnati, Cincinnati, OH.
authors.forename: Natalie
authors.initials: N
authors.lastname: Kreitzer
authors.affiliation: Associate Professor of Emergency Medicine and Neurosurgery, University of Cincinnati, Cincinnati, OH.
authors.forename: Opeolu
authors.initials: O
authors.lastname: Adeoye
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use*; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D019468:Disease Management; D004636:Emergency Service, Hospital; D006801:Humans
chemical_list: D000925:Anticoagulants