1. The document provides clinical indicators of poor outcomes for patients suffering from catastrophic strokes, including radiological and physical evidence. 2. It discusses considerations for managing catastrophic stroke patients, including usual stroke care, diagnostics, assessments, treatments, and decision making around withdrawing life support or continuing treatments. 3. The document outlines factors that indicate a poor prognosis for ischemic/thromboembolic strokes, hemorrhages, and other types of strokes, to help guide clinical management and decisions.