Summary: <a href="http://emcrit.org/wp-content/uploads/2013/10/medium_5156373602.jpg"></a><br> <br> We discuss the management of asymptomatic markedly elevated blood pressure as evaluated by the ACEP Clinical Policies Committee in Sept 2013.<br> The Policy<br> <a href="http://emcrit.org/wp-content/uploads/2013/10/Asympt-hypert2-Final-BOD-approved-2013.pdf">ACEP Management of Asymptomatic HTN 2013</a><br> The Questions and the Recs<br> <br> <br> In ED patients with asymptomatic elevated blood pressure, does screening for target organ injury reduce rates of adverse outcomes?<br> <br> Patient Management Recommendations<br> <br> Level A recommendations. None specified.<br> <br> Level B recommendations. None specified.<br> <br> Level C recommendations.<br> <br> * In ED patients with asymptomatic markedly elevated blood pressure, routine screening for acute target organ injury (eg, serum creatinine, urinalysis, ECG) is not required.<br> * In select patient populations (eg, poor follow-up), screening for an elevated serum creatinine level may identify kidney injury that affects disposition (eg, hospital admission).<br> <br> <br> <br> In patients with asymptomatic markedly elevated blood pressure, does ED medical intervention reduce rates of adverse outcomes?<br> <br> Patient Management Recommendations<br> <br> Level A recommendations. None specified.<br> <br> Level B recommendations. None specified.<br> <br> Level C recommendations.<br> <br> * In patients with asymptomatic markedly elevated blood pressure, routine ED medical intervention is not required.<br> * In select patient populations (eg, poor follow-up), emergency physicians may treat markedly elevated blood pressure in the ED and/or initiate therapy for long-term control. [Consensus recommendation]<br> * Patients with asymptomatic markedly elevated blood pressure should be referred for outpatient follow-up. [Consensus recommendation]<br> <br> What is EMCrit Drinking?<br> <a href="http://eviltwin.dk/beers/lil-b/http://"></a><br> Now on to the Podcast...<br> <br> <br>
