Evidence-based Clinical Care: Evaluation of Intracerebral Hematoma

Intracerebral hematoma (ICH) has high morbidity and mortality. In this final course of the Stroke power plan series, Dr. Felipe De Los Rios discusses institutional protocols and power plans available to facilitate the care of ICH patients. 

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Neurologists, Neurointensivists, Geriatric Medicine Physicians, Internal Medicine Physicians, Intensivists, Emergency Medicine Physicians, Hospitalists and Physician Assistants.

Learning Objectives

  • Implement established clinical pathways for intracerebral hematoma designed on current, evidence-based best practices. 
  • Adopt imaging modality protocols to quickly identify mechanism of hemorrhage and begin refined secondary prevention measures.
  • Appropriately follow the Baptist Health South Florida power plans available for the management of intracerebral hematoma.
  • Recognize the metrics that will be evaluated and monitored through the patient’s hospital stay.
Additional information
Bibliography: 
  • Delcourt, C., Sato, S., Zhang, S., Sandset, E. C., Zheng, D., Chen, X., ... & Salman, R. A. S. (2017). Intracerebral hemorrhage location and outcome among INTERACT2 participants. Neurology, 88(15), 1408-1414.
  • Cucchiara, B., Messe, S., Sansing, L., Kasner, S., & Lyden, P. (2008). Hematoma growth in oral anticoagulant related intracerebral hemorrhage. Stroke, 39(11), 2993-2996.
  • Feigin, V. L., Lawes, C. M., Bennett, D. A., Barker-Collo, S. L., & Parag, V. (2009). Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. The Lancet Neurology, 8(4), 355-369.
  • Rudd, M., Buck, D., Ford, G. A., & Price, C. I. (2016). A systematic review of stroke recognition instruments in hospital and prehospital settings. Emerg Med J, 33(11), 818-822.
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.

Course Summary
Available credit: 
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Course opens: 
06/01/2019
Course expires: 
05/31/2022

Felipe De Los Rios De La Rosa, M.D.
Medical Director, Baptist Hospital Comprehensive Stroke Center & Baptist Health South Florida Stroke Program 
Voluntary Assistant Professor of Neurology
University of Cincinnati Department of Neurology & Rehabilitation Medicine
Florida International University, Herbert Wertheim College of Medicine
Miami, Florida 

Felipe De Los Rios De La Rosa, M.D., conference director and speaker of this educational activity, has no relevant financial relationship with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Italo Linfante, M.D., has indicated that he is a consultant for Medtronic and Stryker and a shareholder in InNeuro Company and Three Rivers.

Kevin J. Abrams, M.D., has indicated that he is a consultant for Keystone Heart.

Guilherme Dabus, M.D., has indicated that he is a consultant/speaker for Medtronic, Penumbra and Microvention and a shareholder in Surpass/Stryker, Medtronic/Medina Elum, Three Rivers and InNeuro Company.

All of the relevant financial relationships listed for these individuals have been mitigated.

All other evidence-based clinical care committee design team members and those involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of  0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Please login or register for a Baptist Health CME account to take this course.

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