Keck School Faculty

Marc Kevin Eckstein

Marc Kevin Eckstein

Professor of Clinical Emergency Medicine
Emergency Medicine
GNH 1011, 1200 N State Street Rm 1011 Off Campus Los Angeles

Implementation of the Los Angeles Tiered Dispatch System is associated with an increase in telecommunicator-assisted CPR Resuscitation. 2020 Oct; 155:74-81. . View in PubMed

Paramedic Global Impression of Change During Prehospital Evaluation and Transport for Acute Stroke Stroke. 2020 03; 51(3):784-791. . View in PubMed

Safety of Tiered-Dispatch for 911 Calls for Abdominal Pain West J Emerg Med. 2019 Oct 17; 20(6):957-961. . View in PubMed

Quality of Acute Stroke Care at Primary Stroke Centers Before and After Certification in Comparison to Never-Certified Hospitals Front Neurol. 2019; 10:1396. . View in PubMed

Subject Retention in Prehospital Stroke Research Using a Telephone-Based Physician-Investigator Driven Enrollment Method Cerebrovasc Dis Extra. 2019; 9(2):72-76. . View in PubMed

The Critical Role of Dispatch Cardiol Clin. 2018 Aug; 36(3):343-350. . View in PubMed

Los Angeles Motor Scale to Identify Large Vessel Occlusion: Prehospital Validation and Comparison With Other Screens Stroke. 2018 03; 49(3):565-572. . View in PubMed

Association Between Hyperacute Stage Blood Pressure Variability and Outcome in Patients With Spontaneous Intracerebral Hemorrhage Stroke. 2018 02; 49(2):348-354. . View in PubMed

Paramedic Initiation of Neuroprotective Agent Infusions: Successful Achievement of Target Blood Levels and Attained Level Effect on Clinical Outcomes in the FAST-MAG Pivotal Trial (Field Administration of Stroke Therapy - Magnesium) Stroke. 2017 07; 48(7):1901-1907. . View in PubMed

A Dedicated Spanish Language Line Increases Enrollment of Hispanics Into Prehospital Clinical Research Stroke. 2017 05; 48(5):1389-1391. . View in PubMed

Impact of the Use of Regional Poison Control Centers in an Urban EMS Dispatch System J Med Toxicol. 2017 03; 13(1):47-51. . View in PubMed

Field Validation of the Los Angeles Motor Scale as a Tool for Paramedic Assessment of Stroke Severity Stroke. 2017 02; 48(2):298-306. . View in PubMed

Characteristics and Outcomes of Very Elderly Enrolled in a Prehospital Stroke Research Study Stroke. 2016 11; 47(11):2737-2741. . 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 05; 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; 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-Jun; 14(2):245-9. . View in PubMed

Disposition of the deceased how to determine patient status & prevent futile transports JEMS. 2010 Mar; 35(3):72-6788082. . 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 caseWhat 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):54-659-62. . 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

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

Getting results in LA. : 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. 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):3840-1. . 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

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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