A Primer On The Bleeding Brain

From the ResusX:2025 resuscitation conference: When you see blood on a CT scan, "freaking out" isn't a viable plan. Dr. Evie Marcolini joins us to break down the nuance of intracranial hemorrhage, from blood pressure targets to the "BIG" criteria that prevent unnecessary transfers. Whether you're managing an aneurysmal subarachnoid hemorrhage or a traumatic subdural, these are the neuro-critical care pearls you need to avoid secondary brain injury and improve patient outcomes. 🔍 KEY TOPICS IN THIS VIDEO 0:00 - The "Visceral Reaction" to Head Bleeds 0:48 - The 3 Categories: Subarachnoid, TBI, and ICH 1:45 - Trauma vs. Spontaneous: How to tell the difference 2:20 - New Blood Pressure Goals (Why 90 systolic is NOT enough) 4:05 - Reversing Blood Thinners & Mechanical Valves 5:10 - Using the BIG (Brain Injury Guideline) Criteria 6:40 - Vasospasm & The Nimodipine Myth 8:15 - Chronic Subdurals: The Middle Meningeal Artery fix 9:30 - The Neuro-Cardiac Axis: Takotsubo & LVADs 10:45 - Analgesia vs. Sedation: Why Fentanyl is a BP drug Want to watch more from ResusX:2025? Get 4 FREE videos from the conference from Anand Swaminathan, Amal Mattu, Sara Crager, Reuben Strayer, and Mike Carunchio: https://www.resusx.com/resusx2025/mini 📢 CONNECT WITH US TikTok: https://www.tiktok.com/@criticalcarenow Instagram: https://www.instagram.com/criticalcarenow Facebook: https://www.facebook.com/Criticalcarenow/ YouTube: https://www.youtube.com/c/criticalcarenow Linkedin: https://www.linkedin.com/in/criticalcarenow/ #NeuroCriticalCare #EmergencyMedicine #TBI #Neurosurgery #FOAMed #Brain Bleed #ResusX2025