Definition: end-organ damage due to hypertension
Blood pressure is generally >180/120 (usually > 220/130), but presence of end-organ damage defines disease (not absolute blood pressure number)
1%-6% of all ED patients will present with severe hypertension, but less than half of those will have target organ damage
Blood pressure is generally >180/120 (usually > 220/130), but presence of end-organ damage defines disease (not absolute blood pressure number)
1%-6% of all ED patients will present with severe hypertension, but less than half of those will have target organ damage
Idiopathic
Sympathomimetic drug use
Preeclampsia
Acute glomerulonephritis
Prehospital BP measurements should be considered reliable
Acute lowering of BP is not typically recommended
Focus on ABCs (assess need for intubation or respiratory support)
Provide care of treatable etiologies
CHF
Respiratory failure from pulmonary edema
Acute pain
CHF
Respiratory failure from pulmonary edema
Acute pain
Hypertensive emergency
Hypertensive urgency
Stroke
Subarachnoid hemorrhage
Sympathetic crashing acute pulmonary edema
Idiopathic intracranial hypertension
Ischemic stroke
Traumatic hyphema