Gillian Sheppard

@gsheppard.bsky.social

POCUS enthusiast, physician and educator. Views expressed are my own.

From 2003 to 2024, deaths caused by law enforcement in the US rose among adults and children, with non-Hispanic Black males aged 18 to 29 years experiencing the highest rates each year. ja.ma/4vjmbCY

JAMA Research Letter: Deaths Caused by Law Enforcement in the US (Published July 8, 2026). Figure shows death rates by age group (adults, children) & by sex, race/ethnicity from 2003-2024. Adults have higher rates than children. Male Black individuals consistently show highest rates.

Less charting ≠ more productivity. In nearly 200,000 ED encounters, both ambient AI and human scribes reduced documentation time, but neither led to meaningful gains in throughput or wRVUs/hour. Maybe the real value isn’t doing more. Maybe it’s reducing the burden of documentation.

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Congratulations to Maryse Fagnant on having her fellow project published in @cjemonline.bsky.social! This edition of the #POCUS literature primer focuses on 1st trimester pregnancy POCUS and scrotal POCUS. @gsheppard.bsky.social @paulatkinsonem.bsky.social 🔗 doi.org/10.1007/s436...

POCUS literature primer: key papers on first-trimester pregnancy and scrotal POCUS - Canadian Journal of Emergency Medicine

Objective This study aimed to determine the five most influential publications on first-trimester pregnancy point-of-care ultrasound (POCUS) and the five most influential publications on scrotal POCUS from an emergency medicine perspective. These two POCUS applications were selected, because they address time-sensitive clinical conditions in which early diagnosis is critical for appropriate management. Methods An expert panel of 15 emergency physicians was recruited from the Canadian Association of Emergency Physicians (CAEP) Emergency Ultrasound Committee and the Canadian Ultrasound Fellowship Collaborative. All participants had completed fellowship training in POCUS or possessed equivalent expertise, were actively engaged in scholarly work, and held leadership roles at the institutional or national level. A structured three-round modified Delphi process was conducted to achieve consensus. In each round, panelists independently nominated and ranked papers based on their perceived influence in informing us on how to use POCUS in clinical practice. Responses were discussed and refined across subsequent rounds until agreement was reached. Results In round one, panelists nominated 40 papers focused on first-trimester pregnancy POCUS and 31 papers on scrotal POCUS. Following round two, 13 papers remained for first-trimester pregnancy POCUS and 10 for scrotal POCUS, with one additional paper added to each category after panel discussion. The final round produced ranked lists of the five most influential papers in each category. These papers emphasize the diagnostic value of POCUS in confirming intrauterine pregnancy and excluding ectopic pregnancy, its role in the timely recognition of testicular torsion, and its contribution to improving efficiency while reducing emergency department length of stay. Conclusion This expert consensus provides a focused reading list of foundational literature in first-trimester pregnancy and scrotal POCUS. The compilation serves as a practical educational resource for clinicians and trainees and as a framework to support future research, curriculum development, and evidence-informed POCUS implementation.

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An audit of 2.5 million academic biomedical-science papers identified ~3,000 w fake references;, ones that could not be traced to known publications. There were 12 times more publications w fabricated citations in 2025 compared w 2023. 🤦‍♂️ Topaz et al, Lancet, 407: 1779-81. (2026)

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Complaints are increasingly being raised when doctors speak out about atrocities and attacks on healthcare, even when no professional or legal standard has been breached. Doctors’ freedom of speech must be protected from punitive scrutiny www.bmj.com/content/392/...

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Check out our new publication in Current Opinion in Critical Care: "POCUS in the modern era of emergency medicine: a narrative review of the recent literature" We describe current #POCUS trends: regional anesthesia, resuscitation, diagnostics, AI, tech & governance 🔗 doi.org/10.1097/mcc....

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