Start Date

5-15-2025 9:30 AM

End Date

5-15-2025 11:30 AM

Description

Introduction

  • Initial steps in management for ICH/SAH transfers to JHN follow common pathway
  • Roughly, pathway is as follows: place arterial line, achieve blood pressure control with continuous infusions, draw initial labs, initial doses of hyperosmolar therapy, obtain repeat CT head
  • Timeliness of intervention is paramount, and further procedures such as decompressive hemicraniectomy or external ventricular drain placement require updated imaging
  • Opportunities exist to accelerate aspects of care such as medication administration, coordination of transport, arterial line placement, etc. prior to obtaining that scan

Keywords

intracranial hemorrhage, QI, JHN

Comments

Presented at the 2025 Jefferson Health Equity and Quality Improvement (HEQI) Summit.

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May 15th, 9:30 AM May 15th, 11:30 AM

Accelerating Initial Critical Care in Acute Intracranial Hemorrhage

Introduction

  • Initial steps in management for ICH/SAH transfers to JHN follow common pathway
  • Roughly, pathway is as follows: place arterial line, achieve blood pressure control with continuous infusions, draw initial labs, initial doses of hyperosmolar therapy, obtain repeat CT head
  • Timeliness of intervention is paramount, and further procedures such as decompressive hemicraniectomy or external ventricular drain placement require updated imaging
  • Opportunities exist to accelerate aspects of care such as medication administration, coordination of transport, arterial line placement, etc. prior to obtaining that scan