Archive

Author: Marco Propersi

GRACE Guidelines: A Pragmatic Approach to Recurrent Low-Risk Chest Pain

In the United States, a patient with chest pain presents to the emergency department (ED) every 5 seconds. By the time you finish reading this post, 60 patients will have sought treatment for chest pain. In 2017, chest pain was ...

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Cardiovascular

The SAFER Trial: Pediatric CAP – Amoxicillin 5 days vs 10 days

Background: The evidence supporting the use of a 10-day course of high-dose amoxicillin to treat community-acquired pneumonia (CAP) in pediatric patients is weak. In addition, medicine is trending towards shorter courses of antibiotics when clinically appropriate. REBEL EM covered a similar ...

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Infectious DiseaseThoracic and Respiratory

From Emergency Medicine to Hostage Negotiation

Earlier this year, my home shop began administering the Johnson & Johnson COVID-19 vaccine to patients in the emergency department (ED). Thirteen years of experience in emergency medicine has afforded me many opportunities to counsel patients on lifestyle modifications, death ...

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Infectious Disease

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 ...

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CardiovascularNeurology

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. The classic medical teaching regarding antimicrobial therapy pushed for longer treatment ...

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Infectious DiseaseThoracic and Respiratory

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