Use the early blood-pressure response, the ICP context, and the cerebral perfusion target to decide how aggressively to lower pressure. The goal is controlled reduction, not reflexive overcorrection.

Note that routine use of corticosteroids is explicitly not recommended for this; Hitting your intensive blood pressure reduction target within that ultra-early 60-minute window significantly curbed hematoma expansion; Initiate aggressive intravenous antihypertensive therapy if the systolic blood pressure climbs above 200 or if the mean arterial pressure is greater than 150; Start by elevating the head of the bed to 30 degrees; Furthermore, maintaining long-term stability after that initial reduction was tightly linked to superior clinical and functional recovery