No Improvement in Medicine / Internal Medicine — 58yo Man | Critical Care | SMLE Q#1224
SMLE Question #1224
Medicine / Internal Medicine
Critical Care
Last updated: February 2026
A 58-year-old man presents 45 minutes after sudden severe headache, nausea, and a brief loss of consciousness. He is drowsy but arousable and follows simple commands. Non-contrast head CT shows diffuse subarachnoid blood in the basal cisterns without large intraparenchymal hemorrhage or mass effect. He has received an isotonic IV fluid bolus with no improvement in blood pressure. What is the most appropriate next step in management?
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