A 47-year-old woman arrives as ESI 2 with sudden severe headache, vomiting, and collapse. BP 188/102, HR 96. CT head performed 2 hours after onset

Question

A 47-year-old woman arrives as ESI 2 with sudden severe headache, vomiting, and collapse. BP 188/102, HR 96. CT head performed 2 hours after onset shows diffuse subarachnoid blood. Which of the following is the most appropriate next step in management?

Accepted Answer

Control blood pressure, administer nimodipine, and obtain neurosurgical consultation

Answer

Discharge after analgesia

Answer

Perform thrombolysis

Answer

Start heparin infusion

Answer

Give aspirin

Aneurysmal subarachnoid hemorrhage — ABEM Board MCQ

A 47-year-old woman arrives as ESI 2 with sudden severe headache, vomiting, and collapse. BP 188/102, HR 96. CT head performed 2 hours after onset shows diffuse subarachnoid blood. Which of the following is the most appropriate next step in management?