Figure 1.

A pragmatic flowchart to treatment according to this ESO guideline. Consider reversal in patients with sICH who have OAC as an ongoing prescription if no withdrawal of care concept has been started. Reversal should be performed with the same urgency as e.g. thrombolysis. Repeat imaging in case of clinical deterioration and after 24 hours. Control blood pressure (systolic blood pressure to be kept at a target of 140 mmHg) and prevent venous thromboembolism by pneumatic compression stockings. Repeated imaging next day should be considered.