Hypertensive Emergencies

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the June 2023 Emergency Medicine Practice article, Hypertensive Emergencies: Guidelines and Best Practice Recommendations

Epidemiology

Etiology

Differential diagnosis

Prehospital care

History and physical 

Diagnostics

Treatment

• Acute decompensated heart failure
• Acute ischemic stroke
• Acute coronary syndrome
• Intracerebral hemorrhage
• Subarachnoid hemorrhage
• Aortic dissection
• Hypertensive encephalopathy
• Severe pre-eclampsia and eclampsia

Controversies

• Arterial line placement
• Beta blockers and cocaine

Risk management caveats

Summary