A middle aged male presented to AIIMS Jodhpur ER , with history of sudden onset breathlessness. Patient was severely hypoxic, blood pressure of 270 / 130 mm hg . Bilateral crept present . ABG showed severe respiratory acidosis . POCUS showed B profile with severe LVH . A diagnosis of SCAPE was made . Patient was intubated and started on bolus NTG and later infusion . Within 2 hrs of resuscitation, patient chest is clear , blood pressure reducing , the patient improves in vital parameter . Later the patient got extubated with full GCS.
What a brain storming patient.
Adventurous !!
Thrilling and excitement !!
Team spirits!!
Yes, this is Emergency Medicine ?
Happy Emergency Medicine day !!!