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Project Overview:

“ICH Talk” series where the targeted audience will learn more about the AHA ICH guidelines across the care continuum. The continuum of care will include focus on field activation, arrival to referring hospital, transfer to receiving hospital, acute patient management, ongoing management of the hospitalized patient and transition of care priorities.

Project Scope:

Develop short 15-minute podcast series targeting the multidisciplinary team caring for the ICH stroke patient. This series will cover the outline of the AHA ICH guidelines and how this relates to real-world scenarios. Series development may be utilized for staff on-boarding, corresponding documents will be developed.

This is another Hurrdat Media Production. Hurrdat Media is a podcast network and digital media production company based in Omaha, NE. Find more podcasts on the Hurrdat Media Network by going to HurrdatMedia.com or Hurrdat Media YouTube channel!

Code Stroke: Navigating Acute Hemorrhagic Stroke Management and Creating High-Reliability with Stroke Systems of Care

Welcome to Spot the Bleed: An American Heart Association ICH Guideline Refresher Series. In this episode we focus on early management of the acute hemorrhagic stroke patient. Our goal is to equip you with knowledge of the relevant ICH guidelines and clinical insights needed to navigate the challenges of managing hemorrhagic stroke before and after reaching the hospital.
Joining us today are three expert providers in emergency medicine from the Medical College of Wisconsin. Drs. Tom Grawey, Mary Jordan, and Erica Forbes will share their wealth of experience and shed light on implementing timely management principles to enhance outcomes in hemorrhagic stroke patients.
In this episode, we will explore the following key areas:
Guideline Driven Protocols: Our experts will share best practices for managing hemorrhagic stroke cases from initial assessment to communication with the hospital team. Key insights that can make a significant difference in patient outcomes.
Case Study: We’ll delve into a real-life case study, offering a firsthand look at acute interventions to mitigate hematoma expansion. Learn from this case to enhance your clinical decision making .
Stroke Systems of Care: Hear about stepwise framework to manage a multi-disciplinary stroke team to ensure high reliability care delivery.

Frontline Response: Prehospital Management Strategies for Hemorrhagic Stroke Patients

Welcome to Spot the Bleed: An American Heart Association Hemorrhagic Stroke (ICH) guideline refresher series. In this episode we focus on Prehospital Management Strategies. Our goal is to equip you with knowledge of the relevant ICH guidelines and clinical insights needed to navigate the challenges of managing hemorrhagic stroke before and after reaching the hospital.

Joining us today are three expert providers in Emergency Medicine. From the Medical College of Wisconsin, we welcome Dr. Tom Grawey and Kevin Patrick Young, alongside Dr. Nikolai Arendovich from Advocate Health Care. They are present today to share their extensive experience and offer insights into the prehospital care of patients with hemorrhagic stroke.

In this episode, we will delve into the guidelines for prehospital management of hemorrhagic stroke care delivery, using a case study approach. Similar to ischemic stroke care, prompt recognition, swift transport, and advance notification prior to hospital arrival play pivotal roles in stroke systems of care, with the ultimate goal of enhancing patient outcomes.

"Spot the Bleed: Essential Strategies for Hemorrhagic Stroke Management with Timely Blood Pressure Intervention"

Welcome to Spot the Bleed: An American Heart Association Hemorrhagic Stroke (ICH) guideline refresher series. In this episode, we focus on medical and Neurointensive treatment for hemorrhagic stroke, aiming to equip you with the essential knowledge of ICH guidelines and clinical insights to tackle the challenges of stroke management both pre- and post-hospital admission.

We are joined today by a leading expert in Vascular Neurology, Dr. Navi Sangha from Kaiser Permanente, Los Angeles Medical Center. Dr. Sangha will share his extensive experience and insights on acute blood pressure management in hemorrhagic stroke patients. In this episode, we’ll break down the guidelines to emphasize the importance of rapid blood pressure intervention. Using a time-based approach to control elevated blood pressure is key to reducing hematoma expansion, decreasing brain swelling, and improving both recovery and survival outcomes for patients.

A Case Study on Acute Blood Pressure Management in Patients with Hemorrhagic Stroke

Welcome to "Spot the Bleed," an American Heart Association series on hemorrhagic stroke (ICH) guidelines. In this episode, we focus on the medical and Neurointensive treatment of acute blood pressure management in hemorrhagic stroke, providing you with essential knowledge of ICH guidelines and clinical insights to address stroke management challenges both before and after hospital admission.

Managing Seizures and Antiseizure Medications in Acute Hemorrhagic Stroke

Welcome to "Spot the Bleed," an American Heart Association series on hemorrhagic stroke (ICH) guidelines. In this episode, we focus on seizures and antiseizure medications in the medical and Neurointensive treatment of hemorrhagic stroke. Our goal is to equip you with essential knowledge of ICH guidelines and clinical insights to tackle stroke management challenges both before and after hospital admission.

Today, we are joined by two leading specialists and Assistant Professors of Neurology, Drs. Sepideh Chagharvand and Cassie Lee Nankee from the University of Wisconsin Hospital and Clinics in Madison, Wisconsin. Drs. Chagharvand and Nankee will guide us through the current guidelines, highlighting optimal treatment options for new-onset seizure activity in acute hemorrhagic stroke patients. New-onset seizures are relatively common in cases of spontaneous intracerebral hemorrhage (ICH), occurring in 2.8% to 28% of patients, with most seizures happening within the first 24 hours following the hemorrhage. Their discussion and insights will enhance our understanding as they review a patient case study.

Post Hemorrhagic Stroke: Rehabilitation and Recovery

Welcome to Spot the Bleed, an American Heart Association (AHA) series dedicated to hemorrhagic stroke (ICH) guidelines. In this episode, we focus on post-hemorrhagic stroke rehabilitation and recovery. Our aim is to provide you with key ICH guideline updates and clinical insights to address stroke management challenges both before and after hospital admission.

Joining us today are two leading neurology specialists—Dr. Simona Nedelcu, MD, PhD, and Dr. Minsun Kim, DO—from the Department of Neurology at Mass General Brigham in Boston, Massachusetts. They will walk us through the latest AHA guidelines for post-stroke rehabilitation, highlighting that the most effective recovery approach is personalized, initiated within 24–48 hours of onset, and supported by coordinated multidisciplinary care with early discharge planning. You’ll also hear the latest research on how recovery draws on both brain reorganization and adaptive strategies—critical knowledge for improving patient outcomes.

When Every Minute Counts: Implementing Code ICH Systems

Welcome to Hemorrhagic Stroke Management: Current Perspectives and Future Directions in Minimally Invasive Parafascicular Surgery (MIPS), an American Heart Association podcast series dedicated to advancing the care of patients with intracerebral hemorrhage (ICH). Through conversations with clinical leaders and quality improvement experts, this series explores emerging approaches, operational strategies, and real-world experiences that can help improve outcomes for patients with ICH.

In this episode, we take a closer look at the growing role of Code ICH protocols in accelerating care delivery and improving coordination across the stroke team. What does it take to build an effective Code ICH program? How can hospitals create seamless workflows that support rapid evaluation, timely treatment decisions, and consistent implementation of evidence-based care?

To answer these questions, we are joined by two experts from Penn State Health Milton S. Hershey Medical Center. Dr. Scott Simon, Professor of Neurosurgery, Chief of the Division of Cerebrovascular Surgery, Director of the Endovascular Neurosurgery Program, and Medical Co-Director of the Penn State Health Stroke Program, is joined by Erin Cekovich, MSN, RN, CPHQ, Comprehensive Stroke Program Manager. Together, they share Penn State Health's journey to developing and implementing a successful Code ICH activation process, including key operational considerations, lessons learned, and strategies for engaging multidisciplinary stakeholders. Whether you are looking to launch a Code ICH protocol or optimize an existing program, this discussion offers practical insights and actionable takeaways that can be applied within your own organization.

From Variation to Alignment: Protocols that Improve Patient Selection and Minimally Invasive Parafascicular Surgical Timing

Welcome to Hemorrhagic Stroke Management: Current Perspectives and Future Directions in Minimally Invasive Parafascicular Surgery (MIPS), an American Heart Association podcast series dedicated to advancing the care of patients with intracerebral hemorrhage (ICH). Through conversations with clinical leaders and quality improvement experts, this series explores innovative approaches, operational strategies, and real-world experiences that support better outcomes for patients with ICH.

Unwarranted variation in care can lead to delays, inconsistent decision-making, and missed opportunities for timely intervention. In this episode, From Variation to Alignment: Protocols that Improve Patient Selection and Surgical Timing, we examine how standardized protocols and multidisciplinary pathways are helping healthcare teams make more consistent, evidence-informed decisions about patient selection and surgical timing.

Join experts from UCI Health: Dr. Jefferson Chen, Neurological Surgeon and Director of Neurotrauma; Dr. Mohammad Shafie, Associate Clinical Professor, Director of the Vascular Neurology Fellowship Program, and Associate Director of the Comprehensive Stroke and Cerebrovascular Center; and Dana Stradling, MSN, RN, CNRN, Stroke Program Manager for the UCI Health Orange Comprehensive Stroke & Cerebrovascular Center. Together, they share how their team has worked to reduce variability across the continuum of care by aligning neurology, neurosurgery, emergency medicine, and stroke program stakeholders around clear protocols and shared decision-making frameworks. Through practical examples and lessons learned, they discuss strategies for improving coordination, accelerating access to appropriate surgical intervention, and creating more reliable systems of care. Whether your organization is developing new ICH pathways or optimizing existing processes, this episode offers actionable insights and real-world takeaways to help your team transform variability into reliability and deliver more consistent, patient-centered care.