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Intracerebral Haemorrhage - Coggle Diagram
Intracerebral Haemorrhage
Defintion
extravasation of blood
brain parenchyma
Classification
Cause
HTN
Amyloidosis
Tumour
Infarct
Vasculitis
Coagluopathy
Loacation
Caudate
Thalamus
Pons
Cerebellum
Management
Conservatative
Pupils
Neuroprotection bundle
Normoxia >13
Low/normocapnia 4.5-5
ICP<20
CPP 60-70
Sj02 >50%
Remove c-spine collar
Tapes not ties
Medical
BP control
INTERACT2
ATACH2
Target SBP <150 within 6 hours
nitrates
Labetolol
hydralazine
SNP
Haemostatic
INCH
prothrombin complex concentrate vs FFP
Vitamin K
Liase Haematology
Entiepileptics
If seizures
Surgical
STICH
early surgery vs conservtive
No differnece in outcome
STICH II
Early vs delayed
Patietns with predicted poor outcomes
Investigations
CT head
Plain
Angiography
MRI