Episode 14: Intracerebral hemorrhage and elevated ICP (part 2)

In the second part of their episode on intracerebral hemorrhage and intracranial hypertension, the speakers delve into the challenges of managing and prognostication of patients with these conditions. They discuss the difficulties in predicting outcomes, the importance of family communication, and the role of neurosurgeons in decisions like decompressive craniectomy. The conversation covers neurological exams, emphasizing the nuances beyond GCS scores, and the significance of recognizing spinal reflexes versus purposeful movements. They also address airway management, including tracheostomy considerations and the complexities of extubating patients with low GCS, highlighting the need for a multidisciplinary approach and realistic expectations in neurocritical care.