Inclusion Criteria:  Age ≥ 18 years  At least two* high blood pressure readings during ED visit  Systolic (top #) ≥140, ≤180 AND/OR  Diastolic (bottom #) ≥ 90, ≤120  *Second blood pressure may be confirmed when approaching the patient. Before approaching, check exclusions first.  Exclusion Criteria:  symptomatic hypertension