Every Minute Counts: A Paradigm Shift in ICH: Perspectives and Recommendations From the Fourth Hemorrhagic Stroke Academia Industry (HEADS) Roundtable

The HEADS-4 (Fourth Hemorrhagic Stroke Academia Industry) roundtable discussed topics related to the importance of time in the diagnosis and treatment of intracerebral hemorrhage. The goal was to address the shortcomings in current evidence and identify priorities for research to provide stronger data to support implementation of code intracerebral hemorrhage initiatives. The meeting focused on these aspects of intracerebral hemorrhage: diagnosis in the field; reversal of coagulopathy; blood pressure lowering; surgical evacuation; and reorganizing systems of care.