hypertensive emergency Archives - Emergency Medicine Cases

Rapid Reviews Video – Asymptomatic Hypertension

While asymptomatic hypertension is rarely an emergency, many patients are referred to the ED for very high blood pressure readings. We need to know which of these patients have end organ damage and how to treat them without causing harm. In this Rapid Reviews Video Dr. Nick Clarridge discusses how to categorize hypertension in the ED, the key history and physical data points to look for, appropriate investigations as well as rational treatment options and controversies....

By Anton Helman|2022-01-10T20:54:44-05:00October 23rd, 2018|Categories: Cardiology, EM Cases, Emergency Medicine, Medical Specialty, Rapid Reviews Videos|Tags: Dr. Nick Clarridge, hypertension, hypertensive emergency, labetolol, rapid review video|0 Comments

Episode 40: Asymptomatic Hypertension

University of Toronto EM Residency program director, Joel Yaphe and cardiovascular EM researcher, Clare Atzema discuss the guidelines, controversies, pearls & pitfalls of Asymptomatic Hypertension in the ED. The literature is thin in this area, and there are many controversies: Does an elevated BP measured in the ED represent true essential hypertension? Do these patients need to be worked up? Are they at risk of serious morbidity and mortality? Should we treat these patients in the ED with antihypertensives? Should we send them home on antihypertensives? and many more......

By Anton Helman|2021-06-21T17:11:53-04:00February 20th, 2014|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes|Tags: ACE Inhibitor, acep guidelines, antihypertensive, b-blocker, calcium channel blocker, Clare Atzema, feature, hydralazine, hydrocholorthiazide, hypertensive emergency, Joel Yaphe|2 Comments

Episode 27: Drugs of Abuse – Stimulants and Opiates

Dr. Margaret Thompson & Dr. Lisa Thurgur Canada's toxicologist gurus discuss several cases of stimulant drugs of abuse such as cocaine, MDMA & bath salts, as well as the pearls and pitfalls of managing opiates toxicity. We discuss: The management of the intoxicated patient including seizures, dysrhythmias, cardiac ischemia and hypertensive emergencies related to cocaine toxicity, the recognition and management of necrotizing vasculitis caused by cocaine cut with Levamisole, the differential diagnosis and management of the "hot and crazy" patient, including the role of dantrolene and cyproheptidine, pearls and pitfalls of naloxone, the utility of urine drug screens and much more....

By Anton Helman|2021-03-31T13:05:16-04:00October 15th, 2012|Categories: EM Cases, Emergency Medicine, Episodes, Toxicology|Tags: acute coronary syndrome, bath salts, cocaine, dantrolene, drug screen, dysrhthmia, ecstacy, hypertensive emergency, levamisole, Lisa Thurgur, Margaret Thompson, naloxone, opiate, seizure, sympathomimetic, vasculitis|0 Comments

Best Case Ever 12: Drugs of Abuse

As a bonus to Episode 27 on Drugs of Abuse -Stimulants & Opiates, Dr. Margaret Thompson, one of Canada's leading Toxicologists and the medical director of the Ontario Poison Control Centre tells us 2 of her Best Cases Ever about stimulant overdose surprises. In the related Episode, Dr. Margaret Thompson & Dr. Lisa Thurgur Canada's toxicologist gurus discuss several cases of stimulant drugs of abuse such as cocaine, MDMA & bath salts, as well as the pearls and pitfalls of managing opiates toxicity. We discuss: The management of the intoxicated patient including seizures, dysrhythmias, cardiac ischemia and hypertensive emergencies related to cocaine toxicity, the recognition and management of necrotizing vasculitis caused by cocaine cut with Levamisole, the differential diagnosis and management of the "hot and crazy" patient, including the role of dantrolene and cyproheptidine, pearls and pitfalls of naloxone, the utility of urine drug screens and much more.... [wpfilebase tag=file id=396 tpl=emc-play /] [wpfilebase tag=file id=397 tpl=emc-mp3 /]

By Anton Helman|2019-11-11T21:38:55-05:00October 7th, 2012|Categories: Best Case Ever, EM Cases, Emergency Medicine, Resuscitation, Toxicology|Tags: acute coronary syndrome, bath salts, cocaine, dantrolene, drug screen, dysrhthmia, ecstacy, hypertensive emergency, levamisole, Lisa Thurgur, Margaret Thompson, naloxone, opiate, seizure, sympathomimetic, vasculitis|0 Comments

Episode 4: Acute Congestive Heart Failure

Dr. Eric Letovsky and Dr. Brian Steinhart describe a practical way to approach patients with undifferentiated SOB and acute congestive heart failure, the utility of various symptoms and signs in the diagnosis of CHF, as well as the controversies surrounding the best use of BNP and Troponin in the ED. A discussion of the use of ultrasound for patients with SOB as well as the indications for formal Echo are reviewed. In the second part of the episode they discuss the management of acute congestive heart failure based on a practical EM model, as well as the difficulties surrounding disposition of patients with CHF.

By Anton Helman|2021-03-31T13:40:35-04:00April 30th, 2010|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Resuscitation|Tags: ACE Inhibitor, biomarkers, BIPAP, BNP, Brian Steinhart, cardiomyopathy, echocardiogram, Eric Letovsky, furosemide, hypertensive emergency, nitroglycerine, POCUS, troponin, vasopressors|3 Comments