Sudden Severe Occipital Headache in Medicine / Internal Medicine — 62yo Man | Critical Care | SMLE Q#1260
SMLE Question #1260
Medicine / Internal Medicine
Critical Care
Objective: OBJ-308
Last updated: February 2026
A 62-year-old man presents to the emergency department with sudden severe occipital headache, vomiting, brief loss of consciousness, neck stiffness, and right-sided weakness. Non-contrast CT head shows diffuse subarachnoid hemorrhage. Airway and breathing are secured, and he has received IV crystalloids, but hypotension persists. What is the most appropriate next step in management?
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