M.Abels

@pocusnef.bsky.social

Love #POCUS + Blocks + Notfallmedizin, hauptberuflich Beifahrer. (Regional-) Anästhesie, Intensivmedizin, Allgemeinmedizin, Rettungsdienst, #FOAMed, privat hier emergency medicine, Regional anesthesia, intensive care, general medicine, ambulance service

Von Union und Springer bis zur Eskalation aufgeputscht, haben die Bauern revolutionstrunken und galgenbewehrt gegen Physik, Grüne Ideen, Abschaffung der Agrardieselsubventionen und den Beitrag der Landwirtschaft zum Klimaschutz gekämpft. Also die Bauern, die gerade auf toten Äckern stehen. Chapeau.

Illustration von 2025: ein Dieselkanister, mit dem junge Pflänzchen gegossen werden. Textzeile: Ohne die Agrardieselsubventionen hätten die Bauern in Dürtresommern gar nichts mehr zum Gießen. 

Die Zeichnung ist von 2025

Palantir tracks everyone. So we built a site that tracks Palantir. They've been watching us. Now we can watch them. Contracts Lawsuits Executive Pay Global Footprint Lobbying Activity Media Strategies All in One Place ›› palantirwatch.org #privacy #government #surveillance #technology

PalantirWatch — Tracking Palantir Technologies

Independent watchdog tracking Palantir's contracts, executives, lobbying, legal exposure, and global footprint. OSINT-driven public interest research.

palantirwatch.org

40% der AKW-Kraftwerkskapazität nicht verfügbar. In diesem Sommer kommen Nukis, Klimaleugner und Schwurbler in der harten Realität der globalen Erhitzung an. PS: Der Sommer ist noch nicht vorbei! montelnews.com/news/c65ea15...

40% of SE European nuclear capacity offline amid drought

About 40% (2.44 GW) of southeast Europe’s nuclear capacity is offline as Danube drought forces Paks, Cernavoda reductions; governments urge savings amid heatwave.

montelnews.com

MIt den Worten Queere Menschen seien in Teilen des Landes besonders unter Druck versprach Frau Prien nach dem CSD Anschlag in Berlin Solidarität. Eine Woche später streicht sie dem CSD Rathenow die Projektmittel. Ihre Solidarität ist die fortgesetzte Absage an die offene und vielfältige Gesellschaft

Frau Prien reckt fröhlich lächelnd zwei Mittelfinger hoch. Textteile: Frau Priens Art ihre Solidarität zu zeigen

Liebe POCUS People Schaut gerne mal in den frisch überarbeiteten Artikel bei dasFOAM.de, teilt ihn insbesondere mit Menschen die gerade frisch in die zauberhafte Welt von #POCUS eintauchen und schreibt fleißig Feedback und Verbesserungsvorschläge! @dasfoam.bsky.social dasfoam.de/2023/09/16/d...

Die zauberhafte Welt von POCUS - dasFOAM Think Tank

Was ist POCUS, warum ist Ultraschall wichtig, und welche Sonde nutzt man wofür? Warum sind Artefakte wertvoll, und welche Untersuchung macht man wann?

dasfoam.de

Reflection of the day: In all my years in the ICU, I can’t recall seeing a DVT/PE in week 1 post-op after open-heart surgery That said… we don't routinely screen, & chemical VTE prophylaxis is often held by cardiothoracic surgery I have to ask: Is the real incidence this low, or

Zu den Unterzeichnern gehören Anwälte, Richter und Fachleute aus Verwaltung und Wirtschaft: Zahlreiche Juristen fordern die Einleitung eines AfD-Verbotsverfahrens. Sie fürchten einen »ernsthaften Schaden« für die Demokratie.

AfD: Mehr als Tausend Juristen verlangen Verbotsverfahren

Zu den Unterzeichnern gehören Anwälte, Richter und Fachleute aus Verwaltung und Wirtschaft: Zahlreiche Juristen fordern die Einleitung eines AfD-Verbotsverfahrens. Sie fürchten einen »ernsthaften Schaden« für die Demokratie.

spiegel.de

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

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

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

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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

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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

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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

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

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

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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

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

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

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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

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

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