EM Cases · Hypertensive emergency
Hypertensive emergency with flash pulmonary oedema
ACEM Fellowship OSCE resus station testing emergency vs urgency, organ-based therapy, controlled BP lowering, and forbidden nifedipine.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Severe hypertension with acute pulmonary oedema; a nurse offers sublingual nifedipine.
Station brief
Format. Clinical-management (resus) station, 11 minutes. You are the EM consultant.
References2ShowHide
- [1]Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension, 2018.PMID 29133354
- [2]Marik PE, Varon J Hypertensive crises: challenges and management. Chest, 2007.PMID 17565029