The prehospital treatment of patients with intracerebral hemorrhage must be aimed at prevention of secondary brain damage and provision of an optimal physiologic environment to maximize the potential of recovery. Adequate cerebral oxygenation and the prevention of hypercarbia is a priority. This can only be managed by early intubation and artificial ventilation in patients with a Glasgow-coma-scale below eight, together with the restoration of normal hemodynamics to guarantee adequate cerebral perfusion.
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