A woman in her 90s with known rectal ca seeks the ED for general malaise. She was put on Bactrim for a UTI 2 days ago. Creatinine 125, CRP 120. #POCUS shows hydronephrosis of the left kidney. CT confirms a large metastasis, compressing her urether. Nephrostomy needed. #EMIMCC

Woman in her 30s seeks the ED for pain in the epigastric region. Her abdo exam shows RUQ pain that combined with an elevated ALT increases suspicion of presence of gallstones. Bilirubin 17. #POCUS shows a dilated common bile duct and a stone. Admitted and operated on the following day. #EMIMCC

A man in his 50s seeks the ED for the 3rd time this month. His visits before was diagnosed as a viral infection. Now he has fainted, has CP, is SOB and has a sat of 88% on room air. Not a hard diagnosis, but #POCUS clinches it. (And yes; he had right heart strain as well) #EMIMCC

När DN begärde ut offentliga handlingar av Regeringskansliet kom de, utskrivna på papper, efter 30-46 dagar. När fiktive ”Simon” gjorde motsvarande levererades de, digitalt, efter två. www.dn.se/ledare/peter...

"World's first potential trillionaire has killed 600,000 people, including 400,000 children" is the only headline that anyone should ever read about Elon Musk

A prev healthy man in his 50s arrives by EMS with a GCS of 9. It started an hour ago with him screaming ”I can’t breathe” and then having a seizure. He flails with only his left arm on the stretcher. Looks sick so he gets an artline quickly - 95/55. #POCUS gets the diagnosis. Scary stuff. #EMIMCC

Who did this?!

Man in his 70s with CP starting 2 h ago. Similar, shorter duration yesterday. Now almost painfree. ECG read as normal by first physician 🤯. #POCUS with apikal hypo/akinesis. Sent to PCI 90 min away. CP again with ST-elevation so emergent cath. LAD stented. #EMIMCC

Jag saknar förritin, när folk hade skam nog att smussla med korruptionen åtminstone www.dn.se/sverige/avsl...

A man in his 80s visits the ED because of epigastrialgia. The resident sends him home with a diagnosis of gastritis (even though CRP was 30). Comes back 2 days later, CRP now 250. Diagnosis was not hard at that point. #POCUS #EMIMCC

A man in his 50s seeks the ED for the umpteenth time since his abdo pain started a few years ago. He says that it’s his gallbladder, surgery has been denied because of diffuse pain and normal blood tests. Today CRP 9, Leukocytes 11. #POCUS He got his operation the next day. #EMIMCC

A man in his 60s seeks the ED for chest pain starting a couple of hours before. ECG with lateral ST depression (almost painfree at this point). After #POCUS images the interventionalist agreed to take him. 100% LCX occlusion. Patient wins. #EMIMCC

A man in his early 30s, previously healthy, seeks the ED because of abdo pain, bloatedness and loose stools since 4 days. Not the first person I’d send to the CT scanner but #POCUS did not lie. CT showed SBO due to obstruction. Final diagnosis unclear right now. #EMIMCC

Florida eliminated all school vaccine mandates that protected kids for decades-including for measles & polio. Exemptions were already climbing, and without mandates, herd immunity collapses. Outbreaks of diseases we nearly eradicated are inevitable & entirely preventable. www.cnn.com/2025/09/03/h...

A woman in her 60s seeks medical attention because of 2 days of vomiting following an increase in GLP-1 dosing. Vitals and labs unremarkable. Ultrasound shown below with dilated small bowels and free fluid. CT confirms SBO. Surgery needed. #EMIMCC #POCUSky

"en systematisk avprofessionalisering av experten och det hot mot demokratin som så kallad strategisk kommunikation utgör". Resurser vid universiteten används allt mer för marknadsföring. Vilket leder till bedrövliga fall av desinformation som nedan som lyfts av Amina fof.se/artikel/fort...

Man in his 60s seeking ED for exertional dyspnea. Vitals unremarkable except HR 120. On Apixaban for earlier PE. Swears that he takes them. Leukocytes 13, CRP 104. Probe on #pocusky Still swears that he takes his Apixaban. Only after CT shows bilateral large PEs did he confess… #emimcc

One of those cases. Seeking ED for nausea since this morning. Started on prednisolone a week ago in primary care because of ”post-infectious dyspnea”. Labs unremarkable. Tachycardia as only finding. Probe on. #pocusky Final diagnosis: Takutsubo cardiomyopathy #emimcc #medsky

När jag började med ultraljud trodde jag inte att ett av de mest användbara områdena skulle vara ileusbedömning. Finns dessutom välstuderat. pubmed.ncbi.nlm.nih.gov/28797559/ Thanks @thesgem.bsky.social for the reference above #pocus

”Vi ber om ursäkt för att vi kunde uppfattas som X” innebär inget ansvarstagande för X. Det är ett skuldbeläggande av dem man riktar sig till. En oärlig ursäkt är sämre än ingen ursäkt alls. Sopor.

More than 100,000 people marched in Hungary’s annual Pride parade in Budapest on Saturday after Prime Minister Viktor Orban’s ban on the event backfired, turning what is usually a low-key parade into a mass rally against his government. www.nytimes.com/2025/06/28/w...

This is a travesty & a nightmare. The US was a founder of @gavi.org. It lowers global vaccine costs, has vaccinated 1B children, & averted 19M deaths. This pull out will cost 100s of thousands of children's lives a year - and RFK Jr will be personally responsible. www.politico.com/news/2025/06...

Sverker Sörlin ställer viktiga frågor till Benjamin Dousa. Jag hoppas han har civilkurage nog att svara. www.dn.se/kultur/baste...

Measles 'out of control,' experts warn, as Alberta case counts surpass 1,000 flip.it/uUjk7H

www.svt.se/sport/friidr... #sportswashing

What is common knowledge in your field, but shocks outsiders? ERs arent busy bc of people with low acuity problems that "dont need to be there" ERs are crowded bc of sick patients waiting for beds upstairs in a (~full) hospital figuring out who does vs doesnt "need to be there" doesnt work anyway

Att något är dyrt, irrationellt, kontraproduktivt, ovärdigt eller bara mänskligt sorgligt är inga argument som biter. The cruelty is the whole point. www.bt.se/2025-06-17/y...

The Skeptics' Guide to EM is #6 out of the top 35 skeptical podcasts in the world! podcast.feedspot.com/skeptic_podc... @kaymd.bsky.social @casinoshiftmd.bsky.social

Största anledningen till den ökade CT-användningen. Inneliggande observation är dött som koncept för alla över 18 år. Tragiskt.

must be incredibly frustrating and disheartening to have federal funding that was promised to you for important work suddenly and arbitrarily ripped away

”Ställ er inte i vägen för vår sportswashing, för då jävlar!” www.svt.se/sport/bordte...

Är du nyfiken på vår politik och verksamhet? Läs mer på sjukhuslakarna.se.

this is a letter to the editor from a high school track runner who came in second to a trans girl in a race. her state house rep in maine started talking about it. so she wrote this: www.pressherald.com/2025/05/14/r...

Sjukvården bemannas av två grupper medarbetare; De som kan boka in ett förutsättningslöst möte i övermorgon torsdag kl 10-12. Och de som har patienter då.

Very easy to be inspiring when one has received such inspiration Our message to those dedicating themselves to the development of emergency medicine: Make everything you do about the PATIENT, not the SPECIALTY That is the Emergency Medicine we learned from John Hinds @DocJohnsMum

youtube.com/shorts/CuSwN... I made some people big mad with this one

www.dn.se/sverige/nya-... wtf

Äntligen en läkare med en radikal åsikt! www.dagensmedicin.se/opinion/gast...

www.dn.se/debatt/sjukv... och för övrigt anser jag att icke-evidensbaserade triagesystem bör avskaffas #utopi

Jag tror så här; Den som känner sig tvungen att överdriva och ljuga för sin sak tror inte på den. Inte på riktigt, inte innerst inne. Kry, som företag, VET (liksom alla utomlänsersättningsbaserade verksamheter) att det de gör är i grunden ohållbart. De kör på tills någon sätter stopp.

Känns urtypiskt om hur vi sitter i knät på våra digitala överherrar att de utan förvarning kan byta ut sättet vi beställer röntgenundersökningar på och bara förvänta sig att vi löser det utan ökad administration eller fel #cosmic

EM: How it started...how it's going #MedSky