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Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.
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Flash Pulmonary Edema (aka SCAPE)

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Manage episode 355779484 series 1279218
Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.
* “Sympathetic Crashing Acute Pulmonary Edema”
* Pathophysiology – Rapid onset of pulmonary edema caused by sudden hypertension
* Triggers- Missed Medication, Cocaine, Stress/Anxiety
* Increase in BP = Increase in afterload
* Increased afterload causes acute pulmonary edema (in patients with CHF)
* The worsening pulmonary edema causes shortness of breath which worsens blood pressure and further increases afterload
* Presentation- Sudden, severe respiratory distress AND hypertension
* Different than CHF exacerbation
* Not necessarily caused by hypervolemia
* More rapid in onset
* Typically crackles/rales on exam or diffuse B-Lines on POCUS
* Treatment
* BiPAP/CPAP
* High Dose Nitroglycerin
* Diuretics IF Hypervolemic
  continue reading

522 episoade

Artwork

Flash Pulmonary Edema (aka SCAPE)

EM Clerkship

340 subscribers

published

iconDistribuie
 
Manage episode 355779484 series 1279218
Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.
* “Sympathetic Crashing Acute Pulmonary Edema”
* Pathophysiology – Rapid onset of pulmonary edema caused by sudden hypertension
* Triggers- Missed Medication, Cocaine, Stress/Anxiety
* Increase in BP = Increase in afterload
* Increased afterload causes acute pulmonary edema (in patients with CHF)
* The worsening pulmonary edema causes shortness of breath which worsens blood pressure and further increases afterload
* Presentation- Sudden, severe respiratory distress AND hypertension
* Different than CHF exacerbation
* Not necessarily caused by hypervolemia
* More rapid in onset
* Typically crackles/rales on exam or diffuse B-Lines on POCUS
* Treatment
* BiPAP/CPAP
* High Dose Nitroglycerin
* Diuretics IF Hypervolemic
  continue reading

522 episoade

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