In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the June 2023 Emergency Medicine Practice article, Hypertensive Emergencies: Guidelines and Best Practice Recommendations (https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-hypertensive-emergencies)EpidemiologyEtiologyDifferential diagnosisPrehospital careHistory and physical DiagnosticsTreatment* Acute decompensated heart failure* Acute ischemic stroke* Acute coronary syndrome* Intracerebral hemorrhage* Subarachnoid hemorrhage* Aortic dissection* Hypertensive encephalopathy* Severe pre-eclampsia and eclampsiaControversies* Arterial line placement* Beta blockers and cocaineRisk management caveatsSummary