SCAPE Archives - REBEL EM - Emergency Medicine Blog

Sympathetic Crashing Acute Pulmonary Edema: High-Dose Vs. Low-Dose Nitro

by Marco Propersi posted June 20, 2024 No Comments

Background: Sympathetic Crashing Acute Pulmonary Edema (SCAPE) results from an increased systemic vascular resistance and activation of the Renin-Angiotensin-Aldosterone System (RAAS), which causes increased sodium/water reabsorption and worsening cardiac function. Additionally, sympathetic activation shifts fluid from splanchnic beds into the ...

ResuscitationThoracic and Respiratory

I Love Me Some High-Dose NTG and NIV for SCAPE

by Salim Rezaie posted July 12, 2021 No Comments

Background: Hypertensive acute heart failure is a subgroup of acute congestive heart failure (CHF) patients. Physiologically there is increased afterload and decreased venous capacitance both leading to fluid shifts resulting in pulmonary vascular congestion. Sympathetic crashing acute pulmonary edema (SCAPE) ...

Cardiovascular