A man in his 40s seeks the ED because of 3 days of left sided flank pain and nocturia. 3 weeks ago he had an operation for a benign tumor which was compressing the left ureter. Has a ureteral stent. #POCUS shows hydronephrosis. CT unfortunately with a perforated stent, see below 👇 #EMIMCC

Another day, another massive SBO. Elderly woman with mets in the abdomen. Pain masked by chronic steroid use. Liters of vomit in the nasogastric tube. Poor soul. #POCUS #EMIMCC

Gotta love the accidental finding of a non-ruptured aortic aneurysm in a patient with Myelodysplastic Syndrome #POCUS #EMIMCC

Another day, another uncomplicated repeat episode of diverticulits. CRP in the 60s. CT confirmation not necessary. #EMIMCC #POCUS

1) A man in his 70s seeks the ED for CP starting 45 min ago after a brisk walk. Ambulance ECG 25 min earlier shows lateral changes that are unfortunately missed (shown below). Ongoing CP. #EMIMCC

Woman in her 80s seeks the ED for a swollen calf since 3 weeks and now exertional dyspnea. Not a hard diagnosis. #POCUS shows a large right ventricle and D-sign in the basal septum (which is why it’s only in one of the recorded beats here). Also, of course, a DVT. #EMIMCC

50y old man, level 1 trauma. Fell 3 m off a ladder, BP 85/55. CAB is stable. FAST exam shows free fluid, crit care doc screams ”blood in the belly!”. Fluid looks odd, CT non-confirmatory. During op management, feces everywhere. Turns out it was an anal insertion causing perforation. 🤷‍♂️ #EMIMCC #POCUS

A 40y woman came to a sudden stop on her bicycle and felt a sudden pain in her calf. Thompson test negative. #POCUS shows irregularities consistent with a partially torn achilles tendon. Ortho at my place wants to treat it like a full tear. Seems excessive. How is management at your place? #EMIMCC

A woman in her 60s seeks the ED for CP starting 2 h ago. ECG concerning for ST elevation in anterior leads. #POCUS shows hypokinesis septally. Gets transferred for urgent cath which shows a 100% LAD stenosis. Succesfully stented. Repeat echo normal. #EMIMCC

Ingen vet vad ett beredskapssjukhus är men alla nedläggningshotade småsjukhus vet att just de är unikt lämpade att bli ett. lakartidningen.se/nyheter/har-...

A woman in her 90s seeks the ED because of jauneice. It came from nowhere a week ago and she is feeling fine otherwise. #POCUS shows a severly dilated common bile duct. CT without malignancy but a 4 cm obstructive duodenal diverticulum. This is (apparently) Lemmels syndrome. #EMIMCC

A woman in her 60s seeks the ED for 10/10 CP that lasted an hour. Now 1/10. Vitals, ECG unremarkable. #POCUS shows a dissection flap in the abdominal aorta. No pericardial effusion. CT confirms dissection from aortic valve to the iliac artery. Surgery successful, full recovery. #EMIMCC

Att leva i allvarlig materiell och social fattigdom är att svara nej på minst sju av nedanstående punkter. Vardagen är rätt kämpig då. Att antalet personer som har det så här har tredubblats på bara några år är, eller borde vara, en megagrej

A man seeks the ED because of CP and dyspnea. Low sats, slightly tachycardic. He suddenly gets worse. #POCUS shows a clot in transit. Before Alteplase is given he goes into cardiac arrest. Luckily he only needs a couple of minutes of CPR after Alteplase is given. Full recovery. #EMIMCC

There is nothing magical about formal ultrasounds for appendicitis. We EM docs can do it too! 32 y old male with a classic history, CRP 94. #POCUS shows an appendicolith and an inflamed appendix. Surgeon moves up the operation because of risk of perforation. #EMIMCC

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...