stroke/brain bleed

Is a hemorrhagic stroke the same thing as a brain bleed? I only ask because I never hear doctors say a pt just had a hemorrhagic stroke, I only hear them say that a patient has a bleed. Aren't they synonymous?
I'm not sure but what about a subdural hematoma? Is that considered a brain bleed?

I tend to see the term "hemorrhagic stroke" used when there was no trauma - i.e. when the patient's bleed came from a hypertensive crisis or some other underlying problem. I see the term "bleed" used more when the patient hit his/her head, got shot, etc. Either way, there is blood in the brain. This is funny because I got hung up on the word "stroke" myself this weekend - had a guy who they said had a watershed stroke due to hypovolemia from sepsis. I wanted to argue if it's not clot or a bleed it's an anoxic brain injury, not a stroke, but people will call it whatever they want to. I think all of the above words get the point across that there is brain damage, which is the important part.

Here's the way I understand it:A stroke is an artery blockage in the brain, and the tissue on the distal side of the blockage dies unless there's an intervention quickly to break up the blockage.A hematoma is where there is a weakness in a blood vessel wall that balloons when there's the pressure of blood continuously pumping against it. Sometimes when there's a stroke a hematoma forms on the proximal side of the blockage.A hemorrhage is when the blood vessel bursts. Hematomas are stretched blood vessels and have a great likelihood to burst. so they become hemorrhages. A hemorrhage is a bleed, brain or otherwise. Anytime there's bleeding in the brain, for whatever reason, it's called a "bleed."

Where I work, the docs use "bleed" to describe blood in the brain after a fall or ruptured aneurysm most frequently.

There are two different types of strokes- ischemic and hemorrhagic. Ischemic is more common and occurs with a clot or disruption in blood flow to the brain, such as afib. Hemorrhagic occurs with a vessel rupture causing a bleed in the brain. This can be caused by HTN or a trauma-related incident. You can have a pt with a bleed from a MVA and it's technically a stroke. We still do stroke education on these pts too. Subdural hematomas are not considered strokes bc it occurs outside the brain. Hope this helps.