Emerge in EM

E11: DDX- SCAPE


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đŸŽ™ïž Podcast Episode Intro – DDX:SCAPE | Picklesburgh Pulmonary Panic

What happens when a 50-year-old man suddenly can’t breathe—right in the middle of the Picklesburgh festival? đŸ„’đŸ˜Ż

Join Dr. Hagahmed and Dr. Addy as they walk through a high-stakes emergency case of acute dyspnea in a patient with a history of hypertension, hyperlipidemia, and diabetes. From scene safety and rapid assessment to high-flow oxygen, CPAP, and beyond, they break down the critical steps in recognizing and managing SCAPE—Sympathetic Crashing Acute Pulmonary Edema—a diagnosis that goes beyond your typical CHF flare.

You’ll hear key insights into:

  • How to prioritize ABCs under pressure
  • When to think SCAPE vs. CHF
  • The role of nitroglycerin and non-invasive ventilation
  • Why early recognition saves lives

By the end, the patient stabilizes—but not before offering powerful teaching points for every emergency provider.

đŸŽ„ Want to see the case play out?
Watch the full video on our YouTube channel: EMERGE in EM
👉 https://youtube.com/@emergeinem?si=27-MFKEHQKRXGVhH

Subscribe, listen, and always be ready to ask:
What would you do?

If you enjoyed this episode, please follow, subscribe, and leave a review—it helps us reach more listeners.

đŸ“± Connect with me for more educational content, clinical pearls, podcast clips, and behind-the-scenes updates:

  • Instagram: @HagahmedMD
  • YouTube: @HagahmedMD

Thank you for being part of the EMERGE in EM community. Until next time, stay curious, keep learning, and continue to EMERGE.

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Emerge in EMBy Mohamed Hagahmed, MD, MPH

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