A prior randomized clinical trial in ICH found increased complications and no outcome benefit. This has also been found in traumatic brain and spinal cord injury, and corticosteroids are not recommended in these conditions. Source for Recommendation From the 2015 AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage 1. Corticosteroids should not be administered for the treatment of elevated intracranial pressure in ICH (Class III; Level of Evidence B). Method of Reporting Per patient: documentation that corticosteroids were given to treat presumed or known elevated intracranial pressure Per patient population: percentage of patients who did not receive corticosteroids for presumed or known elevated intracranial pressure Challenges to Implementation Determining indication for corticosteroid administration 0% Administration of corticosteroids is the desired result. Analogous Measures Endorsed by Other Organizations None AHA indicates American Heart Association; ASA, American Stroke Association; COPD, chronic obstructive pulmonary disease; ED, emergency department; and ICH, intracerebral hemorrhage. 