The first priority is stabilization of the patient. In those with a depressed level of consciousness, intubation and mechanical ventilation may be required. Blood pressure, pulse, respiratory rate and Glasgow Coma Scale are monitored frequently. Once the diagnosis is confirmed, admission to an intensive care unit (ICU) may be considered preferable, especially given that 15% have a further episode (rebleeding) in the first hours after admission. Nutrition is an early priority, with oral or nasogastric tube feeding being preferable over parenteral routes. Analgesia (pain control) is generally restricted to non-sedating agents, as sedation would interfere with the monitoring of the level of consciousness. There is emphasis on the prevention of complications; for instance, vasospasm, cerebral ischemia, pulmonary embolism and deep vein thrombosis.
Subarachnoid hemorrhage medical therapy
Intracranial hemorrhage medical therapy
Subarachnoid hemorrhage surgery
Cerebral venous sinus thrombosis medical therapy
Subdural hematoma medical therapy
Ischemic stroke medical therapy
Gliomatosis cerebri medical therapy
Stroke ischemic treatment