FERNE On-Line CME Program

Optimizing the ED Management of
Intracerebral Hemorrhage Patients

Learning Objectives 

• Review the current concepts related to the pathophysiology and presentation of patients who require ED treatment for intracerebral hemorrhage.


• Discuss ways in which the diagnosis and treatment of ED ICH patients can be optimized based on available options and published clinical guidelines and current publications.


• Describe the optimal CT diagnosis and ED treatment of patients who present with stroke symptoms consistent with a possible intracerebral hemorrhage.


• Determine the specific operative and non-operative management strategies in patients with intracerebral hemorrhage.


• Understand MRI/MRA indications in the diagnosis of hemorrhagic stroke, SAH, and ICH patients.


• Establish optimal ways to treat ED ICH patients who present with an elevated INR as a result of Coumadin use.

Optimizing the ED Management of Intracerebral Hemorrhage Patients

ICH is a devastating disease that often causes patients to present to the Emergency Department in critical condition, with unstable vital signs, altered mental status, and in need of urgent airway management. It is incumbent on the emergency physician to quickly stabilize these patients, diagnose their condition, and decide on urgent treatment strategies that will optimize the chances for a good outcome. This symposium is designed to make it possible for the emergency physician to have the knowledge and skills necessary to consistently make this happen for ED ICH patients.

FERNE Meeting Introduction  -  9 minutes
Edward P. Sloan, MD, MPH, FACEP

ICH Pathophysiology:  What You Don’t Know  -  17 minutes
Marc Dorfman, MD, FACEP, MACP

10 Things You Must Know When Treating ED ICH Patients  - 26 minutes
Edward Jauch, MD, MS, FACEP

Head CT Interpretation in the ED:  The Complete Primer  -  22 minutes
Brian Stettler, MD

MRI/MRA in Diagnosing ED Acute Stroke and ICH Patients  -   33 minutes
Edward P. Sloan, MD, MPH, FACEP

Treating CNS Hemorrhage in the Anticoagulated Patient  -  13 minutes
Andrew W. Asimos, MD, FACEP

ICH Journal Club:  Important Articles from 2005!  -  8 minutes
Edward P. Sloan, MD, MPH, FACEP

This symposium is presented by FERNE. The extensive use of all materials, images, and lectures is encouraged in order to educate others regarding the optimal care of patients with intracerebral hemorrhage and other neurological emergencies treated in the acute setting. For a copy of these materials, please go to www.ferne.org.

This activity has been planned and implemented in accordance with the Essentials Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Illinois College of Medicine and FERNE. The University of Illinois at Chicago (UIC) College of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Illinois at Chicago (UIC) College of Medicine designates this education activity for a maximum of 3.0 AMA PRA Category 1 credit(s) ™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

For a copy of these materials, please go to www.ferne.org after the meeting.