Emergency Neurological Life Support: Intracerebral Hemorrhage

Neurocrit Care. 2017 Sep;27(Suppl 1):89-101. doi: 10.1007/s12028-017-0453-0.

Abstract

Intracerebral hemorrhage (ICH) is a subset of stroke due to spontaneous bleeding within the parenchyma of the brain. It is potentially lethal, and survival depends on ensuring an adequate airway, proper diagnosis, and early management of several specific issues such as blood pressure, coagulopathy reversal, and surgical hematoma evacuation for appropriate patients. ICH was chosen as an Emergency Neurological Life Support (ENLS) protocol because intervention within the first hours may improve outcome, and it is critical to have site-specific protocols to drive care quickly and efficiently.

Keywords: Blood pressure; Coagulopathy; Hematoma; Intracerebral hemorrhage; Surgery.

MeSH terms

  • Algorithms
  • Cerebral Hemorrhage / diagnosis*
  • Cerebral Hemorrhage / therapy*
  • Clinical Protocols* / standards
  • Critical Care / methods*
  • Critical Care / standards
  • Emergency Medical Services / methods*
  • Emergency Medical Services / standards
  • Humans
  • Life Support Care / methods*
  • Life Support Care / standards
  • Neurology / methods*
  • Neurology / standards
  • Practice Guidelines as Topic* / standards