Aneurysmal Subarachnoid Hemorrhage Guidelines Part I, Introduction and Acute Evaluation

Dr. Brian Hoh, neurosurgeon and chair of neurosurgery at the University of Florida, and Nerissa Ko, neurointensivist and vascular neurologist at UCSF Medical Center in San Francisco, were both instrumental in developing the American Heart Association and American Stroke Association’s new guidelines for treating patients with aneurysmal subarachnoid hemorrhage. These patients have very high mortality rates and are prone to serious complications. But with these guidelines, which pull from all the best available science and research to date, health care providers can create order sets to ensure they give their patients the best possible outcomes. In this episode, Dr. Hoh and Ko explain the severity of aneurysmal subarachnoid hemorrhage, how it typically presents in the acute stage, and they go into detail about diagnostic tools that can detect it. Headache is a very common complaint, but differentiating a common headache from an aneurysmal subarachnoid hemorrhage can mean the difference between life and death. https://professional.heart.org/en/science-news/2023-guideline-for-the-management-of-patients-with-aneurysmal-subarachnoid-hemorrhage 00:00 Introductions 4:00 Basic facts about aSAH 4:55 Major treatment goals 5:45 Classifying recommendations 6:25 Acute evaluation 7:30 Treatment 10:45 Determine severity and predict outcomes 11:25 Monitoring blood pressure 12:30 Specialty treatment centers