Enquiry into Practice: Management of Terminal Catastrophic Intracranial Haemorrhage in Palliative Care.


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Australasian Journal of Neuroscience

Australian Association of Neuroscience Nursing

Subject: Nursing


ISSN: 1032-335X
eISSN: 2208-6781





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VOLUME 25 , ISSUE 2 (October 2015) > List of articles

Enquiry into Practice: Management of Terminal Catastrophic Intracranial Haemorrhage in Palliative Care.

Anna Smith *

Keywords : Terminal catastrophic bleed, fatal intracranial haemorrhage, palliative care emergency, crisis medications, supportive measures.

Citation Information : Australasian Journal of Neuroscience. Volume 25, Issue 2, Pages 20-24, DOI: https://doi.org/10.21307/ajon-2017-116

License : (CC BY-NC-ND 4.0)

Published Online: 10-January-2018



The management of terminal catastrophic haemorrhage is a rare clinical palliative emergency for which the management is based largely on anecdotal and experiential guidelines, with no high grade evidence but rather robust contention and controversy. Whilst often rapid and deadly, inevitably dramatic and devastating for the treating health professionals and family, the key management areas include risk identification, supportive practices, the use of sedative medication and the ethical issues faced in the management of terminal haemorrhage.

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