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- Intracranial hemorrhage (ICH) can expand for the first 24 hours after onset.
- Peak ICH expansion occurs at 6 hours.
- REMEMBER: The heads of patients with ICH should be elevated (~30 degrees) for at least 24 hours after the onset of bleeding to decrease the extent of expansion. This is a simple, but too often neglected, clinical measure that potentially offers great benefit to the patient.