Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Time-critical stabilization
Airway protection triggers
GCS 8 or less
Recurrent vomiting with aspiration risk
Hypoventilation
Refractory agitation preventing imaging
Breathing targets
Oxygen saturation 94% or higher
End-tidal CO2 35 to 40 mmHg if ventilated
Circulation priorities
Two large-bore IV access
Continuous ECG monitoring
Frequent neurologic reassessment trigger for resuscitation bay
Early high-risk identification
Aneurysmal SAH concern
Thunderclap headache peak intensity under 1 minute
Witnessed collapse or syncope
New seizure at onset
Meningismus
Focal neurologic deficit
Sentinel headache concern
Sudden severe headache days to weeks prior
Similar episode with spontaneous resolution
Hemodynamic goals
Physiologic targets
Systolic blood pressure target under 160 mmHg before aneurysm secured
Lower targets if ongoing bleeding concern and no ischemia concern
Avoid rapid large drops in chronic hypertension
Temperature under 38.0 C
Treat fever as secondary brain injury risk
Serum glucose 7.8 to 10.0 mmol/l
Avoid hypoglycemia
Euvolemia
Avoid hypotonic fluids
Avoid routine hypervolemia
Early consultation and pathway
Neurovascular activation
Neurosurgery early notification
Hydrocephalus concern
Declining mental status
Need for external ventricular drain
Interventional neuroradiology or endovascular team notification
CTA positive aneurysm
High suspicion with negative initial imaging
ICU disposition planning
Any confirmed SAH
Any depressed level of consciousness
Need for titratable BP agents
Transfer triggers
No neurosurgery or endovascular capability
Transfer after initial stabilization and imaging if feasible
BP control during transport
Airway secured prior to transport if unstable
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.