Intracerebral Haemorrhage

Android app by Atif Elnil. Education · Atif Elnil

Store rating
Unknown
Store rating count
Unknown
Download price
Free to download
In-app purchases
Listed by the store
Version
1.2
Listing last refreshed
2026-09-18

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Store description excerpt

Intracerebral Haemorrhage is a rapid-access clinical decision support tool covering the complete management pathway from CT interpretation through to ward-based care. Built by a Neurology and Stroke Fellow and referenced to RCP 2023, AHA/ASA 2022, INTERACT-2, ATACH-2, ENRICH 2023, and ANNEXA-1. ~40% 30-day mortality. Haematoma expansion occurs in 30–38% within 24 hours and doubles 30-day mortality. Rapid BP lowering and anticoagulation reversal are the two most effective interventions. 8-STEP MANAGEMENT PATHWAY: Step 1: CT Interpretation - ABC/2 volume calculator - CT expansion signs — spot sign, swirl sign, island sign, blend sign - Haematoma location and aetiology Step 2: ICH Score Calculator - Interactive calculator — GCS, volume, IVH, origin, age - 30-day mortality estimate - Prognostic guidance — do not use as sole basis for withdrawal Step 3: Blood Pressure Management - Target SBP <140 mmHg within 1 hour — INTERACT-2, ATACH-2 - IV antihypertensive drug table — labetalol, nicardipine, GTN - BP assessment tool Step 4: Anticoagulation Reversal - Warfarin — vitamin K, PCC - DOAC reversal — idarucizumab, andexanet alfa - Heparin — protamine sulphate Step 5: Surgical Decision-Making - ENRICH 2023 criteria — minimally invasive surgery - Cerebellar ICH criteria - STICH II evidence — EVD indications Step 6: ICP Management and Herniation - Herniation protocol - Mannitol and hypertonic saline - CPP targets Step 7: Ward Management - Monitoring orders, VTE, seizure prophylaxis - Glucose management, MDT, goals of care Step 8: Prognosis and Secondary Prevention - Outcome determinants - Anticoagulation restart decisions - Lifelong BP management FEATURES: - Interactive calculators: ICH Score, ABC/2 volume, BP assessment - Every step cites its source guideline; tap to open - Works fully offline - One-time purchase; no subscription For qualified healthcare professionals only. Always verify against local protocols and seek senior neurosurgical input.

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