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Thursday, December 16, 2021

Subarachnoid Hemorrhage

emDocs - December 15, 2021 - By Philip Jarrett and Avi Ruderman
Reviewed by: Anthony DeVivo; Alex Koyfman; Brit Long
"Takeaway points
  • Maintaining cerebral perfusion pressure is the priority in subarachnoid hemorrhage.
  • In conscious patients, target a systolic blood pressure of 140 – 160 mm Hg and administer nimodipine.
  • In unconscious patients, support CPP with vasopressors in consultation with neurosurgery.
  • To treat elevated ICP, use hypertonic saline. The dose is 3.2 mL/kg of 5% hypertonic saline"