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Intracerebral Hemorrhage (ICH) bleeding into the brain parenchyma,…

- - - - brain herniation
        
        lead to
  - - - Damage to the vessels
- - - - Target SBP 140-160
      - IV antihypertensive (labetalol, nicardipine)
      - Arterial line if needed
  - - - E: Temperature and identify other injuries
      - D: GCS, pupils, BSL, neurological assessments
      - C : IV access, bloods, ECG
      - B :Keep SpO2 >95%
      - A: may require intubation if GCS <8
  - - - Cultural preferences
        
        Individualized care
    - - Interpreter services
    - - Involve family/carers and community support systems
        
        Goal of care
        
        patient preferences
  - - - Head up 30 degree
      - Controlled ventilation (avoid hyperventilation and hypercapnia)
      - CSF diversion (EVD if hydrocephalus)
      - Osmotherapy (IV mannitol, hypertonic solution)
      - Maintain ICP < 20mmHg
      - raised ICP may require
- - - - (Wilson & Ashcraft, 2023)
    - - Structured communication
        
        SBAR handover
        
        Closed-loop communication
        
        Clear documentation
      - Recognition and Escalating Care
        
        Activate MET/code stroke
        
        Urgent neurosurgical/ medical review
      - Multidisciplinary collaboration
        
        Stroke Team
        
        ICU team
        
        Neurosurgery
        
        Allied Health