Hello, students. My name is Mike Estefan, and I thank you for joining me today for this month's mid-month episode on the EM Clerkship Podcast.

Since we did not have a case this month, this month's episode is going to be on one of my favorite clinical topics.

These patients are my favorite to take care of in the ER as they

usually come in crashing, but they get turned around just as fast. We are going to be talking

about flash pulmonary edema. But before we begin, just a quick word from our sponsors

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Now, back to the episode.

So today we're talking about flash pulmonary edema.

We're going to start by talking about what this actually is, the pathophysiology, followed by rapid diagnosis and management in the ER.

And then I will end the episode with a case of how I personally manage these patients.

So flash pulmonary edema sometimes referred to as escape, which stands for sympathetic, crashing, acute pulmonary edema,

and other times referred to as hypertensive heart failure is something I personally see in the ED a couple times a month.

Typically, this is defined as the rapid onset of cardiogenic pulmonary edema in the setting of hypertension.

It is not necessarily due to volume overload.

We will get back to this in a little bit.

So the patient that presents like this will typically have underlying heart failure or some

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