E11: DDX- SCAPE
Description
🎙️ 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? 🥒😯
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.
🎥 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?



