Episode 4 – Subarachnoid Hemorrhage Guidelines

The Recs:


  1. Use Hunt & Hess or WFN Scores
  2. Risk of early rebleeding is high – be quick and decisive in getting the aneurysm secured
  3. Still recommending LP if negative CT
  4. Get CTA if CT or LP is positive
  5. MRI may be useful if negative CT, but if negative you still need a LP
  6. Keep SBP < 160 until clip/coil
  7. If delay until clip/coil, use aminocaproic acid or TXA
  8. Give nimodipine to prevent delayed cerebral ischemia
  9. Need CSF drainage if acute, symptomatic hydrocephalus
  10. Consider anti-convulsants in acute SAH management
  11. Use isotonic fluids, keep fluid balance positive
  12. Keep patient Normothermic
  13. Control Hyperglycemia

Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage
doi: 10.1161/?STR.0b013e3182587839

What is EMCrit drinking?

An insanely good aged sour ale: Rodenbach 2009 Vintage


You finished the 'cast,
Now get CME credit

Not a subcriber yet? Why the heck not?
By subscribing, you can...

  • Get CME hours
  • Support the show
  • Write it off on your taxes or get reimbursed by your department

Sign Up Today!


Subscribe Now

If you enjoyed this post, you will almost certainly enjoy our others. Subscribe to our email list to keep informed on all of the ED Critical Care goodness.

This Post was by , MD, published 3 years ago. We never spam; we hate spammers! Spammers probably work for the Joint Commission.


Speak Your Mind (Along with your name, job, and affiliation)