Postthrombolysis Intracranal Hemorrhage

In this episode, Sam Ashoo, MD and Dr. Syeda Maria Muzammil, MD discuss the August 2026 Emergency Medicine Practice article, Emergency Department Management of Postthrombolysis Intracranial Hemorrhage.0:25 – Intro & sponsor message1:18 – Guest introduction: Dr. Maria Muzammil2:24 – Timeframe for post-thrombolysis hemorrhage & ED/ICU boarding considerations4:46 – Thrombolysis eligibility criteria & contraindications5:46 – Incidence rates & symptomatic vs. asymptomatic hemorrhage7:09 – Pathophysiology & risk factors for post-thrombolytic ICH10:18 – Combining IV thrombolysis with endovascular thrombectomy12:33 – Post-treatment monitoring protocols & neurological exam frequency15:02 – Differentiating hemorrhage from other causes of neurological decline18:34 – Initial ED steps20:35 – Heidelberg classification of hemorrhage types21:60 – Follow-up imaging25:27 – Treatment of confirmed hemorrhage30:10 – Platelet transfusion guidance32:39 – Delayed hemorrhage & treatment timing considerations34:21 – Blood pressure management goals post-hemorrhage37:20 – Special populations38:48 – Summary of ED management algorithm40:48 – Closing remarksSubscribers, take the CME test here.Emergency Medicine Residents, get your free subscription by writing [email protected]