Steps to consider in the approach and management of critically ill patient with spontaneous intracerebral hemorrhage

Table 1 Intracerebral hemorrhage score

Components	Points
GCS score
3-4	2
5-12	1
13-15	0
ICH volume (cm3)
≥30	1
< 30	0
IVH
Yes	1
No	0
Infratentorial origin of ICH
Yes	1
No	0
Age (yr)
≥ 80	1
< 80	0
Total ICH score	0-6

GCS: Glasgow coma scale; IVH: Intraventricular hemorrhage; ICH: Intracerebral hemorrhage.

Table 2 Secondary insults

Systemic	Intracraneal
Arterial Hypotension Hypoxia Hypercapnia - Hypocapnia Hyperthermia Hyperglycemia - Hypoglycemia Hyponatremia - Hypernatremia Anemia SIRS DIC	Intracranial hypertension Cerebral hematoma Edema Seizures Vasospasm Hydrocephalus Infections

SIRS: Systemic inflammatory response syndrome; DIC: Disseminated intravascular coagulation.