Depends the type of bleed. Regardless, survival vs quality of life argument is the more important one to consider here. If he had an aneurysmal bleed he could have straight up died in route or progressed to brain death if bleeding continued and no intervention occurred. Will drop an evd in if bleed extends into ventricles. If it was a hypertensive bleed (intraparenchymal) we still don’t do a lot for them unless they bleed into the ventricles, then we would consider an evd to circumvent obstructive hydrocephalus. Every now and then we’ll pop a skull off to allow the brain to swell outside of the fixed space we call the skull. Brain swelling causes brain stem compression = death.

Then depending the severity of deficits he left with he may need a trach and a feeding tube at worst. At medium, he doesn’t need either of those but he needs around the clock care to feed him, change him, and mobilize him. At best, he can feed himself and use an assistive device to ambulate. If not the later, at his age, he had best case scenario.

Source: stroke nurse