J. Claude Hemphill

TL;DR: In this article, the authors present current and comprehensive recommendations for the diagnosis and treatment of acute spontaneous intracerebral hemorrhage, including diagnosis, hemostasis, blood pressure management, inpatient and nursing management, preventing medical comorbidities, surgical treatment, outcome prediction, rehabilitation, prevention of recurrence and future considerations.

TL;DR: The authors in this article reported that ICH constitutes 10% to 15% of all strokes and remains without a treatment of proven benefit, despite several existing outcome prediction models for ICH.

TL;DR: In this article, the authors present current and comprehensive recommendations for the diagnosis and treatment of spontaneous intracerebral hemorrhage, and a formal literature search is performed to identify the cause of the hemorrhage.

TL;DR: Recommendations were developed based on literature review using the GRADE system, discussion integrating the literature with the collective experience of the participants and critical review by an impartial jury and emphasis was placed on the principle that recommendations should be based not only on the quality of the data but also tradeoffs and translation into practice.

TL;DR: The findings suggest that hypertonic saline may be superior to the current standard of care and argue for a large, multicenter, randomized trial to definitively establish the first-line medical therapy for intracranial hypertension.