Subarachnoid Hemorrhage (SAH)

Subarachnoid Hemorrhage (SAH) is a topic covered in the Pocket ICU Management.

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First Things First (assess & treat for the following)

  • Check level of consciousness; determine airway patency and risk of aspiration.
  • Secure airway (i.e., intubate) if GCS is < 8; also consider early intubation if GCS is initially better but worsening.
  • Obtain a non-contrast CT scan of the head as soon as the patient is stable.
  • Monitor BP closely. Once presence of SAH is established, treat hypertension aggressively to limit further bleeding, until controlled by surgical clip or other intervention.
  • Maintain normocapnia and adequate oxygenation in intubated and mechanically ventilated patient.

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Last updated: May 5, 2010