EMOttawa - By Emma Ferguson, Courtney Price - January 05, 2023
While most strokes we see are ischemic in nature, 10% of stroke presentations are intracerebral hemorrhages (ICH) 1. However, unlike ischemic strokes that have clear and evolving pathways for treatments, novel treatments for spontaneous intracerebral hemorrhages (ICH) are lacking. Because of this, the American Heart Association and American Stroke Association created guideline recommendations for the management of spontaneous ICH.
This blog post will provide you with a focused review of this evidence tailored to the emergency clinician. Before you dive into the details, it is important to remember that the management of spontaneous ICH is an emergency medicine condition. And just like an acute ischemic stroke, time = brain in these cases.