Marc Eckstein, MD, MPH, FACEP is the Medical Director of the Los Angeles Fire Department, which is the nation's second busiest EMS provider. Dr. Eckstein is a Professor of Emergency Medicine at the Keck School of Medicine of the University of Southern California, and the Director of Prehospital Care at the Los Angeles County/University of Southern California Medical Center. A former New York City paramedic, Dr. Eckstein is a nationally recognized leader with 25 years experience in EMS.
After obtaining his Bachelor of Science Degree with distinction with a major in microbiology from Cornell University in 1985, Dr. Eckstein obtained his Doctor of Medicine from the Mount Sinai School of Medicine in New York in 1989. He completed his residency training in Emergency Medicine at the Los Angeles County/University of Southern California School of Medicine Medical Center in 1993, after serving as Chief Resident during his fourth year of training.
Dr. Eckstein then became the Director of Prehospital Care at LAC/USC Medical Center in 1993 He became the Medical Director of the Los Angeles Fire Department in 1996, and was promoted to the rank of Professor of Emergency Medicine and Clinical Scholar at the Keck School of Medicine of the University of Southern California in 2009.
As the Medical Director of the LAFD, Dr. Eckstein has introduced several new modalities in the field, including transcutaneous pacing, 12 lead ECGs, pulse oximetry, and waveform capnography. He has led the efforts which culminated in the successful creation of STEMI-Receiving Centers (SRCs) in Los Angeles, which now includes over 30 hospitals where patients with acute myocardial infarctions are diverted for emergency cardiac catheterization. This system has set the model for acute cardiac care nationwide.
Dr. Eckstein is the Co-Principal Investigator for the Los Angeles Prehospital Stroke Screen study, which was incorporated into the 2000 American Heart Association Guidelines, and the Field Administration of Magnesium for Stroke (FAST-MAG) study, which is a multi-million dollar, multi-center, NIH funded prehospital stroke trial. He has published over 100 peer-reviewed articles, abstracts, and book chapters, and lectures around the world on EMS and disaster preparedness topics. He received his Masters in Public Health degree with a concentration in homeland security in 2007.
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Characteristics and Outcomes of Very Elderly Enrolled in a Prehospital Stroke Research Study. Stroke. 2016 Nov; 47(11):2737-2741. View in: PubMed
Impact of the Use of Regional Poison Control Centers in an Urban EMS Dispatch System. J Med Toxicol. 2016 Oct 7. View in: PubMed
Enrollment Yield and Reasons for Screen Failure in a Large Prehospital Stroke Trial. Stroke. 2016 Jan; 47(1):232-5. View in: PubMed
Cadaveric comparison of the optimal site for needle decompression of tension pneumothorax by prehospital care providers. J Trauma Acute Care Surg. 2015 Dec; 79(6):1044-8. View in: PubMed
Routing Ambulances to Designated Centers Increases Access to Stroke Center Care and Enrollment in Prehospital Research. Stroke. 2015 Oct; 46(10):2886-90. View in: PubMed
Prehospital use of magnesium sulfate as neuroprotection in acute stroke. N Engl J Med. 2015 Feb 5; 372(6):528-36. View in: PubMed
The Los Angeles public access defibrillator (PAD) program: Ten years after. Resuscitation. 2012 Nov; 83(11):1411-2. View in: PubMed
Radiologic evaluation of alternative sites for needle decompression of tension pneumothorax. Arch Surg. 2012 Sep 1; 147(9):813-8. View in: PubMed
Optimal positioning for emergent needle thoracostomy: a cadaver-based study. J Trauma. 2011 Nov; 71(5):1099-103; discussion 1103. View in: PubMed
End-tidal CO2 as a predictor of survival in out-of-hospital cardiac arrest. Prehosp Disaster Med. 2011 Jun; 26(3):148-50. View in: PubMed
EMS and managed care: the Los Angeles experience. Prehosp Emerg Care. 2010 Apr 6; 14(2):245-9. View in: PubMed
Disposition of the deceased how to determine patient status & prevent futile transports. JEMS. 2010 Mar; 35(3):72-6, 78, 80, 82. View in: PubMed
Paramedic knowledge, attitudes, and training in end-of-life care. Prehosp Disaster Med. 2009 Nov-Dec; 24(6):529-34. View in: PubMed
A gnawinig case. What to ask when presented with vague chief complaints. JEMS. 2009 Sep; 34(9):32-3. View in: PubMed
Trauma at the tunnel: Los Angeles Metrolink train crash presents crews with unprecedented triage, treatment & transport challenges. JEMS. 2009 May; 34(5):54-6, 59-62. View in: PubMed
Impact of paramedic transport with prehospital 12-lead electrocardiography on door-to-balloon times for patients with ST-segment elevation myocardial infarction. Prehosp Emerg Care. 2009 Apr-Jun; 13(2):203-6. View in: PubMed
Implementation of specialty centers for patients with ST-segment elevation myocardial infarction. Prehosp Emerg Care. 2009 Apr-Jun; 13(2):215-22. View in: PubMed
Getting results in L. A. : five years of prehospital 12-lead ECG & STEMI data. JEMS. 2009 Jan; 34(1):13. View in: PubMed
Racial/ethnic differences in bystander CPR in Los Angeles, California. Ethn Dis. 2009; 19(4):401-6. View in: PubMed
Enhancing public health preparedness for a terrorist attack involving cyanide. J Emerg Med. 2008 Jul; 35(1):59-65. View in: PubMed
Implementation strategies for emergency medical services within stroke systems of care: a policy statement from the American Heart Association/American Stroke Association Expert Panel on Emergency Medical Services Systems and the Stroke Council. Stroke. 2007 Nov; 38(11):3097-115. View in: PubMed
Specialty center boom: is transport to the closest ED a thing of the past? JEMS. Specialty center boom: is transport to the closest ED a thing of the past? JEMS. 2007 May; 32(5):42-3. View in: PubMed
Physician-investigator phone elicitation of consent in the field: a novel method to obtain explicit informed consent for prehospital clinical research. Prehosp Emerg Care. 2006 Apr-Jun; 10(2):182-5. View in: PubMed
Focus on smoke inhalation--the most common cause of acute cyanide poisoning. Prehosp Disaster Med. 2006 Mar-Apr; 21(2):s49-55. View in: PubMed
Prehospital 12-lead speeds care. JEMS. 2005 Aug; 30(8):38, 40-1. View in: PubMed
Facilitating EMS turnaround intervals at hospitals in the face of receiving facility overcrowding. Prehosp Emerg Care. 2005 Jul-Sep; 9(3):267-75. View in: PubMed
Managing the pregnant trauma patient. JEMS. 2005 May; 30(5):110-27; quiz 130-1. View in: PubMed
Cardiac Arrest Resuscitation Evaluation in Los Angeles: CARE-LA. Ann Emerg Med. 2005 May; 45(5):504-9. View in: PubMed
Pulseless electrical activity: a diagnostic challenge for EMS. Prehosp Emerg Care. 2005 Apr-Jun; 9(2):231-5. View in: PubMed
Termination of resuscitative efforts for out-of-hospital cardiac arrests. Acad Emerg Med. 2005 Jan; 12(1):65-70. View in: PubMed
The effect of emergency department crowding on paramedic ambulance availability. Ann Emerg Med. 2004 Jan; 43(1):100-5. View in: PubMed
Helicopter transport of pediatric trauma patients in an urban emergency medical services system: a critical analysis. J Trauma. 2002 Aug; 53(2):340-4. View in: PubMed
Ability of paramedics to treat patients with congestive heart failure via standing field treatment protocols. Am J Emerg Med. 2002 Jan; 20(1):23-5. View in: PubMed