Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm





    Chief Complaint


    Organ System


    Patent Pending

    Secondary Intracerebral Hemorrhage (sICH) Score

    Quantifies likelihood of underlying vascular etiology in patients with ICH.
    When to Use
    Why Use


    Please fill out required fields.

    Next Steps
    Creator Insights


    • Bear in mind that the sICH Score is an adjunct to, and not a substitute for, clinical judgment.
    • In a patient with sICH Score <2 and CTA negative for vascular abnormality, catheter angiogram may present greater procedural risks than benefits from identifying an underlying vascular etiology.
    • In selected patients with sICH Score >2 and CTA negative for vascular abnormality, catheter angiogram may be considered after careful weighing of procedural risks and benefits. Note that CTA is not the gold standard but remains a highly sensitive and specific imaging technique for detecting vascular abnormalities.


    • ICH is a neurological emergency. Immediate neurological and neurosurgical consultation should be obtained on patients with evidence of any ICH on imaging.
    • Hypertensive patients with acute ICH should undergo blood pressure reduction with intravenous agents. The target blood pressure should be discussed with the neurological or neurosurgical consultant.
    • The decision to administer reversal agents (e.g. desmopressin) blood products (e.g. prothrombin factor concentrate, fresh frozen plasma), or anti-epileptic medications should not be made without discussing with the neurological or neurosurgical consultant.
    • Platelet administration is NOT recommended in the setting of antiplatelet-related ICH.

    Critical Actions

    It is crucial to identify and reverse anticoagulant-associated ICH (using agents tailored to the underlying anticoagulant).

    Content Contributors