Inclusion:
Age ≥ 18
Symptomatic elevated BP
Lack signs of symptoms of acute target organ injury.
Exclusion:
Acute hypertensive emergencies (acute stroke, cardiac ischemia, pulmonary edema, encephalopathy, CHF)
Pregnant
ESRD
Emergent conditions that are likely to cause elevated BP not directly related to acute target organ injury
Acute presentation of serious medical conditions associated with hypertension (stroke, MI, CHF)
Level A: None
Level B: None
Level C:
Routine screening for acute target organ injury (Cr, UA, ECG) not required
In select patient population ( poor follow up), screening creatinine may identify kidney injury that affects disposition.
Routine ED medical intervention not required.
May treat elevated BP in ED +/or initiate therapy for long term control in select patients.
Refer for outpatient follow up.
Age ≥ 18
Symptomatic elevated BP
Lack signs of symptoms of acute target organ injury.
Acute hypertensive emergencies (acute stroke, cardiac ischemia, pulmonary edema, encephalopathy, CHF)
Pregnant
ESRD
Emergent conditions that are likely to cause elevated BP not directly related to acute target organ injury
Acute presentation of serious medical conditions associated with hypertension (stroke, MI, CHF)
Routine screening for acute target organ injury (Cr, UA, ECG) not required
In select patient population ( poor follow up), screening creatinine may identify kidney injury that affects disposition.
Routine ED medical intervention not required.
May treat elevated BP in ED +/or initiate therapy for long term control in select patients.
Refer for outpatient follow up.
ACEP clinical policies
Sign out tools
Reexamination sample documentation
Mass casualty incident triage
STOPP/START criteria
Denver screening criteria
Critical care documentation
Clinical decision rules list