Episode 218: Sympathetic Crashing Acute Pulmonary Edema (SCAPE)

Episode 218: Sympathetic Crashing Acute Pulmonary Edema (SCAPE)

From Core EM - Emergency Medicine Podcast by Core EM

January 17, 2026 · 13 min · Episode 218

About this episode

The episode discusses the diagnosis and management of Sympathetic Crashing Acute Pulmonary Edema (SCAPE) in the emergency department.

We discuss the diagnosis and management of SCAPE in the ED. Hosts: Naz Sarpoulaki, MD, MPH Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/SCAPEv2.mp3 Download Leave a Comment Tags: Acute Pulmonary Edema , Critical Care Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below. Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine, with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 The Clinical Case Presentation: 60-year-old male with a history of HTN and asthma. EMS Findings: Severe respiratory distress, SpO₂ in the 60s on NRB, HR 120, BP 230/180. Exam: Diaphoretic, diffuse crackles, warm extremities, pitting edema, and significant fatigue/work of breathing. Pre-hospital meds: NRB, Duonebs, Dexamethasone, and IM Epinephrine (under the assumption of severe…

People in this episode

Host: Brian Gilberti

Topics covered

  • pulmonary edema
  • emergency medicine
  • diagnosis
  • management
  • critical care

Keywords

  • SCAPE
  • diagnosis
  • management
  • emergency department
  • pulmonary edema

Mentioned in this episode

Products: Core EM Modular CME Course, Duonebs, Dexamethasone, Midazolam 0.5–1 mg

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