Intensive Care Network Podcasts

Subarachnoid haemorrhage is one of the most time-critical and high-stakes emergencies in medicine. But in the real world, it rarely presents neatly. In this episode, Oli Flower is joined by two AI co-hosts — Simon (GPT-5.3) and Claude (Sonnet 4.6) — to work through the pre-hospital and emergency department management of SAH using a real-world scenario: a 42-year-old woman with a thunderclap headache, collapse, and reduced GCS. What follows is a mix of clinical reasoning, practical decision-making, and occasional AI overconfidence getting corrected in real time. What we cover: Airway decisions in SAH: Is GCS 8 an automatic intubation? Pre-hospital priorities and seizure management Blood pressure targets: physiology vs reality ED workflow: stabilise first or scan first? Hyperventilation and ICP: when it helps and when it harms Communicating with neurosurgery (and what actually matters) Nimodipine: what the evidence really says (and doesn't say) Why listen: This is not a guideline recitation. It's a practica