Hemorrhagic Stroke Initiative Toolkit

Join us as we host some of today's brightest minds across the world of Hemorrhagic Stroke. As we continue to build out our knowledge base, we post the webinars here. The documents in this toolkit have been provided to the AHA by hospitals that participate in special initiatives within the Get With the Guidelines®-Stroke program. The materials are for educational purposes only, and do not constitute an endorsement or instruction by American Heart Association/American Stroke Association.  

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ICH Reversal Guideline, March 2019

Intracranial hemorrhage: Reversal of anticoagulant, antiplatelet and thrombolytic agents

Spontaneous ICH and SAH

Spontaneous Intracerebral Hemorrhage

NEU IP Intracerebral Hemorrhage 

Initiate NRS IP Post External Ventricular Drain Insertion order short set if EVD present, initiate IP GEN Blood Transfusion Order set to order any blood products, and initiate the Gen IP Telemetry/Cardiac Monitoring order set as needed.

Intracranial Hemorrhage: Reversal of anticoagulant, antiplatelet and thrombolytic agents

Non-traumatic/spontaneous intracranial hemorrhages and intraventricular hemorrhages - plus subdural hemorrhages without underlying significant parenchymal traumatic brain injury

Anticoagulation Reversal Guideline for Adults

These recommendations are meant to serve as general guidelines and should not replace clinical judgment. Always seek input from the appropriate specialists when indicated and include the patient and/or family in shared decision making when possible.
 

Anticoagulant Reversal Agent/Bleeding Treatments

This guide covers: Apixaban, Edoxaban, Rivaroxaban, Dabigatran, and Warfarin

Anticoagulant Reversal Guideline

Antithrombotic Reversal – Adult – Inpatient Clinical Practice Guideline

Blood Pressure Management in Hemorrhagic Stroke Patients - Review of ATACH 2 Trial

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