What initial investigations should be performed in a patient suspected of having an intracerebral haemorrhage?

Initial investigations for a patient suspected of having an intracerebral haemorrhage should include urgent non-contrast CT imaging of the head. This is the primary investigation to detect acute intracerebral bleeding and other clinically important traumatic brain injuries.

Additional investigations may include clinical assessment to exclude other causes of neurological symptoms such as hypoglycaemia.

Referral to emergency services and urgent review by senior clinicians is essential to confirm diagnosis and initiate management.