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While the neurosurgical patient is not normally one junior prescribers should be caring for in a nonspecialist area, they may encounter them in the acute setting while a referral is being made. Readers are provided with key information on the management of subarachnoid haemorrhage, including how to manage blood pressure, prevent vasospasm and rebleeding. Adjuncts to reduce the chances of secondary brain injury, including steroids, mannitol and anticonvulsants, are also discussed, while the importance of good quality analgesia is also emphasised.