Hypertensive Emergencies

EXCELLENT LECTURE. BEST HT LECTURE EVER !

So, while I completely agree with this lecture -- one question keeps coming up over and over. What is the cutoff BP for Ms. Jones who is asymptomatic? Is it an SBP of 200? Would you send home an asymptomatic person without intervention with an SBP of 220? Which brings me to the next question: Aren't we really treating ourselves if the patient is truly asymptomatic?

Continuing to tell patients that they just need to see their primary care physician does wonders for patient satisfaction. Yes, a normal neurologic exam may give the patient some reassurance that they’re going to be OK, however, treating blood pressure acutely by augmenting their home regimen with a new medication or increasing the dose of one of their own medication’s is virtually harmless and actually doing something for the patient. The “not my problem“ approach often seems like it is poor care and a cop out. It may not change Acute or long-term outcomes but it still may be the right thing to do

Jess, this is the best lecture I have heard on acute management of elevated BP. Thanks!
Your style and clarity in teaching and presentation, is outstanding.
Thank you Jess.

Sharon, Urgent Care Physician

thank you so much

This lecture should be sent to EVERY PCP in the country.