Author: Marco Propersi

Asymptomatic Hypertension: A 2 Year Look Back from Canada

Background: A patient presents to the emergency department (ED) for medical treatment. After comprehensive evaluation and management, the patient’s condition improves and you prepare to discharge the patient home. The nurse notifies you the blood pressure (BP) is 185/105 and …

Read More

The Pneumonia Short Treatment Trial: Antibiotic Treatment for 3 days vs 8 days

Background: In 2019 the World Health Organization listed “Antimicrobial Resistance” as a top 10 threat to global health. This was echoed in a 2021 document. [WHO 2019, WHO 2021] The classic medical teaching regarding antimicrobial therapy pushed for longer treatment …

Read More
Infectious DiseaseThoracic and Respiratory

The Autotelic Emergency Physician

In the fall of 2014, while working overnight in the emergency department at a community hospital in NJ, a patient (let’s call him John) presented with ACE inhibitor angioedema. At first glance, his lips were swollen, but his tongue and …

Read More

Gone in 120 Seconds!

By the time you finish reading this post, you could have completed most items on your daily to-do list. It’s surprising how many tasks can be completed in under 2 minutes once the next action is clarified.

Read More


Shooting azimuths is a critical skill required for accurate land navigation in foreign territory. The steps involved are simple: Ascend to the tallest nearby point with a compass in hand. Select a landmark in the distance. Recalibrate your route toward …

Read More