All right, welcome back to the Internet Book of Critical Care podcast.

I'm here with Adam Thomas.

We're going to talk about hypertensive emergencies.

Josh, isn't this your favorite consult?

The systolic is 230.

It's 230.

It's an emergency.

Don't get me started. That underscores the importance of this topic, guys. So we're going to cover some really important hypertensive emergencies with end organ dysfunction in today's podcast. The whole point here is we're going to cover how to measure a blood pressure and what's a meaningful number that's a problem.

We'll talk about what the causes are and the treatments. Again, remember that every specific hypertensive emergency has its own specific treatment and you can see those in their own chapters.

But today we'll talk about intravenous anti-hypertensive agents that are boluses versus infusions

and how to transition your patients to oral anti-hypertensive agents that are boluses versus infusions and how to transition your patients to

oral anti-hypertensis. What hypertension podcast would not be fulfilled without talking about

the specific entity that is press? So we'll top it off at the end of the day with that. So Josh,

let's get into the most important underpinning from this topic is what is a high

blood pressure, what number is meaningful, and how do we use the map? Yeah, so first off, I just

want to emphasize for this podcast, and I think probably in general for most critical care,

map is really the way we should probably be thinking about blood pressure predominantly for a couple

reasons. First of all, now that we're all using oscillometric blood pressure monitoring, at least up front,

to identify these patients. That's actually what the blood pressure cuff is measuring. It's the

map. And systolic and diastolic are extrapolated from that. But the map is the single most accurate

number that we're getting off our blood pressure cuff. I'm going to underscore that. Everyone

listening right now, perk up again.

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