Marc Kevin Eckstein, MD

Title(s)Professor of Clinical Emergency Medicine
SchoolKeck School of Medicine of Usc
AddressGNH 1011, 1200 N State Street Rm 1011
Off Campus
Los Angeles CA 90033
Phone+1 323 226 6667
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    Marc Eckstein, MD, MPH, is a nationally recognized leader with over 30 years of experience in Emergency Medicine and EMS. Dr. Eckstein is double board-certified in Emergency Medicine and Emergency Medical Services. He has built an international reputation as a physician, leader, academician, and innovator.
    After obtaining his Bachelor of Science Degree with Distinction from Cornell University, Dr. Eckstein obtained his Doctor of Medicine from the Mount Sinai School of Medicine in New York. He completed his residency training in Emergency Medicine at the Los Angeles County/University of Southern California Medical Center, where he served as Chief Resident. He earned a Master’s Degree in Public Health (MPH) with a Concentration in Homeland Security from American Military University.

    Dr. Eckstein is a Professor of Emergency Medicine at the Keck School of Medicine of the University of Southern California. Dr. Eckstein has published over 200 peer-reviewed articles, abstracts, and book chapters, and lectures around the world on Emergency Medical Services, Emergency Medicine, and disaster preparedness topics. He serves as the Chief of the EMS Division within the Department of Emergency Medicine at USC and is the Director of the EMS Fellowship. He is the recipient of numerous awards, including the EMS Achievement Award from the California Chapter of the American College of Emergency Medicine (CAL-ACEP); the EMS Medical Director of the Year Award from the National Metropolitan EMS Medical Directors Consortium; the Meritorious Service Award for Exceptional Leadership and Contributions in EMS from the California State EMS Authority; the EMS Innovator Award by the Journal of Emergency Medical Services (JEMS); the Clinical Excellence in EMS Award from the California State EMS Authority; the Healthcare Leadership Award from the Los Angeles Business Journal; the Community Service Leadership Award from Firehouse Expo, and was one of only 50 Emergency Physicians recognized in a book honoring the 50th anniversary of the specialty of Emergency Medicine. In March 2020, he was deputized by Mayor Eric Garcetti as the Physician Leader of the COVID-19 Testing for the City of Los Angeles, which has tested over 2 million individuals to date.

    Dr. Eckstein has served as the Medical Director of the Los Angeles Fire Department since 1996. He was appointed the Commander of the Los Angeles Fire Department EMS Bureau in 2016, where he created and implemented many innovative and life-saving programs. Dr. Eckstein created the first Mobile Integrated Health Unit in any urban fire department in the US. He successfully implemented Advanced Provider Response Units (APRUs) in the field, which are staffed by a Nurse Practitioner or Physician Assistant along with a paramedic, and he also created the nation’s first mobile Sobriety Emergency Response Unit (SOBER Unit). He implemented a Dispatch-Initiated Telemedicine Program in early 2020 and has now launched Field-Initiated Telemedicine. All of these programs leverage technology and innovation to provide patient-centered care, conserve emergency resources, and navigate low acuity patients to Treatment in Place or transport to Alternate Destinations such as Mental Health Urgent Care Centers or Sobering Centers.

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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. SARS-CoV-2 seroprevalence among firefighters in Los Angeles, California. Occup Environ Med. 2022 05; 79(5):315-318. Mulligan K, Berg AH, Eckstein M, Hori A, Rodriguez A, Sobhani K, Toubat O, Sood N. PMID: 35074885.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCells
    2. Prehospital Predictors of Atypical STEMI Symptoms. Prehosp Emerg Care. 2021 Nov 08; 1-8. Taylor TG, Stickney RE, French WJ, Jollis JG, Kontos MC, Niemann JT, Sanko SG, Eckstein MK, Bosson N. PMID: 34748467.
      View in: PubMed   Mentions:    Fields:    
    3. Use of Naloxone in 9-1-1 Patients without Respiratory Depression in Los Angeles County, California (USA). Prehosp Disaster Med. 2021 Oct; 36(5):543-546. Jenkins C, Levine M, Sanko S, Kazan C, Thomas CE, Eckstein M. PMID: 34425934.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    4. Spatiotemporal analysis of out-of-hospital cardiac arrest in the City of Los Angeles, 2011-2019. Resuscitation. 2021 08; 165:110-118. Fleming D, Owens A, Eckstein M, Sanko S. PMID: 34119555.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Comparison of Emergency Medical Dispatch Systems for Performance of Telecommunicator-Assisted Cardiopulmonary Resuscitation Among 9-1-1 Callers With Limited English Proficiency. JAMA Netw Open. 2021 06 01; 4(6):e216827. Sanko S, Feng S, Lane C, Eckstein M. PMID: 34076700; PMCID: PMC8173370.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    6. The Effect of Early Treatment with Intravenous Magnesium Sulfate on the Incidence of Cardiac Comorbidities in Hospitalized Stroke Patients. Cardiovasc Ther. 2020; 2020:1494506. Bechler K, Shkirkova K, Saver JL, Starkman S, Hamilton S, Liebeskind DS, Eckstein M, Stratton S, Pratt F, Conwit R, Sanossian N. PMID: 33072188; PMCID: PMC7533752.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansCTClinical Trials
    7. Implementation of the Los Angeles Tiered Dispatch System is associated with an increase in telecommunicator-assisted CPR. Resuscitation. 2020 10; 155:74-81. Sanko S, Kashani S, Lane C, Eckstein M. PMID: 32721415.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    8. Quality of Acute Stroke Care at Primary Stroke Centers Before and After Certification in Comparison to Never-Certified Hospitals. Front Neurol. 2019; 10:1396. Shkirkova K, Wang TT, Vartanyan L, Liebeskind DS, Eckstein M, Starkman S, Stratton S, Pratt FD, Hamilton S, Kim-Tenser M, Conwit R, Saver JL, Sanossian N. PMID: 32038463; PMCID: PMC6987385.
      View in: PubMed   Mentions: 2  
    9. Paramedic Global Impression of Change During Prehospital Evaluation and Transport for Acute Stroke. Stroke. 2020 03; 51(3):784-791. Shkirkova K, Schuberg S, Balouzian E, Starkman S, Eckstein M, Stratton S, Pratt FD, Hamilton S, Sharma L, Liebeskind DS, Conwit R, Saver JL, Sanossian N, FAST-MAG Investigators and Coordinators. PMID: 31955642; PMCID: PMC7091257.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    10. Safety of Tiered-Dispatch for 911 Calls for Abdominal Pain. West J Emerg Med. 2019 Oct 17; 20(6):957-961. Abramson TM, Sanko S, Kashani S, Eckstein M. PMID: 31738724; PMCID: PMC6860400.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    11. Subject Retention in Prehospital Stroke Research Using a Telephone-Based Physician-Investigator Driven Enrollment Method. Cerebrovasc Dis Extra. 2019; 9(2):72-76. Rosell BJ, Shkirkova K, Saver JL, Liebeskind DS, Starkman S, Kim-Tenser M, Eckstein M, Sharma L, Conwit R, Hamilton S, Sanossian N. PMID: 31344699; PMCID: PMC6738216.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCTClinical Trials
    12. The Critical Role of Dispatch. Cardiol Clin. 2018 Aug; 36(3):343-350. Kashani S, Sanko S, Eckstein M. PMID: 30293600.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    13. Los Angeles Motor Scale to Identify Large Vessel Occlusion: Prehospital Validation and Comparison With Other Screens. Stroke. 2018 03; 49(3):565-572. Noorian AR, Sanossian N, Shkirkova K, Liebeskind DS, Eckstein M, Stratton SJ, Pratt FD, Conwit R, Chatfield F, Sharma LK, Restrepo L, Valdes-Sueiras M, Kim-Tenser M, Starkman S, Saver JL, FAST-MAG Trial Investigators and Coordinators. PMID: 29459391; PMCID: PMC5829024.
      View in: PubMed   Mentions: 26     Fields:    Translation:HumansCTClinical Trials
    14. Association Between Hyperacute Stage Blood Pressure Variability and Outcome in Patients With Spontaneous Intracerebral Hemorrhage. Stroke. 2018 02; 49(2):348-354. Chung PW, Kim JT, Sanossian N, Starkmann S, Hamilton S, Gornbein J, Conwit R, Eckstein M, Pratt F, Stratton S, Liebeskind DS, Saver JL, FAST-MAG Investigators and Coordinators. PMID: 29301973.
      View in: PubMed   Mentions: 24     Fields:    Translation:Humans
    15. 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. Shkirkova K, Starkman S, Sanossian N, Eckstein M, Stratton S, Pratt F, Conwit R, Hamilton S, Sharma L, Liebeskind D, Restrepo L, Valdes-Sueiras M, Saver JL, FAST-MAG Investigators and Coordinators. PMID: 28583999.
      View in: PubMed   Mentions: 5     Fields:    Translation:HumansCTClinical Trials
    16. A Dedicated Spanish Language Line Increases Enrollment of Hispanics Into Prehospital Clinical Research. Stroke. 2017 05; 48(5):1389-1391. Sanossian N, Rosenberg L, Liebeskind DS, Starkman S, Eckstein M, Stratton S, Pratt FD, Hamilton S, Kim-Tenser M, Sharma LK, Restrepo L, Valdes-Suieras M, Conwit R, Saver JL, FAST-MAG Investigators and Coordinators. PMID: 28389617.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    17. Field Validation of the Los Angeles Motor Scale as a Tool for Paramedic Assessment of Stroke Severity. Stroke. 2017 02; 48(2):298-306. Kim JT, Chung PW, Starkman S, Sanossian N, Stratton SJ, Eckstein M, Pratt FD, Conwit R, Liebeskind DS, Sharma L, Restrepo L, Tenser MK, Valdes-Sueiras M, Gornbein J, Hamilton S, Saver JL, FAST-MAG Trial (Field Administration of Stroke Therapy–Magnesium) Nurse-Coordinators and Investigato. PMID: 28087807.
      View in: PubMed   Mentions: 13     Fields:    Translation:HumansCTClinical Trials
    18. Impact of the Use of Regional Poison Control Centers in an Urban EMS Dispatch System. J Med Toxicol. 2017 03; 13(1):47-51. Levine M, Flores J, Seabury SA, Sanko S, Eckstein M. PMID: 27718162; PMCID: PMC5330961.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    19. Characteristics and Outcomes of Very Elderly Enrolled in a Prehospital Stroke Research Study. Stroke. 2016 11; 47(11):2737-2741. Sanossian N, Apibunyopas KC, Liebeskind DS, Starkman S, Burgos AM, Conwit R, Eckstein M, Pratt F, Stratton S, Hamilton S, Saver JL, FAST-MAG (Field Administration of Stroke Therapy-Magnesium) Investigators and Coordinators. PMID: 27679533.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansCTClinical Trials
    20. Enrollment Yield and Reasons for Screen Failure in a Large Prehospital Stroke Trial. Stroke. 2016 Jan; 47(1):232-5. Kim DH, Saver JL, Starkman S, Liebeskind DS, Ali LK, Restrepo L, Kim-Tenser M, Valdes-Sueiras M, Eckstein M, Pratt F, Stratton S, Hamilton S, Conwit R, Sanossian N, Field Administration of Stroke Therapy–Magnesium (FAST-MAG) Trial Nurse-Coordinators and Investigato. PMID: 26658446; PMCID: PMC4909489.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansPHPublic Health
    21. 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. Inaba K, Karamanos E, Skiada D, Grabo D, Hammer P, Martin M, Sullivan M, Eckstein M, Demetriades D. PMID: 26488319.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    22. Routing Ambulances to Designated Centers Increases Access to Stroke Center Care and Enrollment in Prehospital Research. Stroke. 2015 Oct; 46(10):2886-90. Sanossian N, Liebeskind DS, Eckstein M, Starkman S, Stratton S, Pratt FD, Koenig W, Hamilton S, Kim-Tenser M, Conwit R, Saver JL, FAST-MAG Investigators and Coordinators. PMID: 26265130; PMCID: PMC4920547.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    23. Prehospital use of magnesium sulfate as neuroprotection in acute stroke. N Engl J Med. 2015 Feb 05; 372(6):528-36. Saver JL, Starkman S, Eckstein M, Stratton SJ, Pratt FD, Hamilton S, Conwit R, Liebeskind DS, Sung G, Kramer I, Moreau G, Goldweber R, Sanossian N, FAST-MAG Investigators and Coordinators. PMID: 25651247; PMCID: PMC4920545.
      View in: PubMed   Mentions: 111     Fields:    Translation:HumansCTClinical Trials
    24. Radiologic evaluation of alternative sites for needle decompression of tension pneumothorax. Arch Surg. 2012 Sep; 147(9):813-8. Inaba K, Ives C, McClure K, Branco BC, Eckstein M, Shatz D, Martin MJ, Reddy S, Demetriades D. PMID: 22987168.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    25. The Los Angeles public access defibrillator (PAD) program: ten years after. Resuscitation. 2012 Nov; 83(11):1411-2. Eckstein M. PMID: 22484436.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    26. Optimal positioning for emergent needle thoracostomy: a cadaver-based study. J Trauma. 2011 Nov; 71(5):1099-103; discussion 1103. Inaba K, Branco BC, Eckstein M, Shatz DV, Martin MJ, Green DJ, Noguchi TT, Demetriades D. PMID: 22071914.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    27. End-tidal CO2 as a predictor of survival in out-of-hospital cardiac arrest. Prehosp Disaster Med. 2011 Jun; 26(3):148-50. Eckstein M, Hatch L, Malleck J, McClung C, Henderson SO. PMID: 22107764.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    28. EMS and managed care: the Los Angeles experience. Prehosp Emerg Care. 2010 Apr-Jun; 14(2):245-9. Eckstein M, Talamo M, Henderson SO. PMID: 20144020.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    29. Disposition of the deceased how to determine patient status & prevent futile transports. JEMS. 2010 Mar; 35(3):72-6, 78, 80, 82. Eckstein M. PMID: 20298916.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    30. Paramedic knowledge, attitudes, and training in end-of-life care. Prehosp Disaster Med. 2009 Nov-Dec; 24(6):529-34. Stone SC, Abbott J, McClung CD, Colwell CB, Eckstein M, Lowenstein SR. PMID: 20301072.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    31. A gnawinig case. What to ask when presented with vague chief complaints. JEMS. 2009 Sep; 34(9):32-3. Eckstein M. PMID: 19957707.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    32. 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. Eckstein M, Heightman AJ. PMID: 19433236.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    33. 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. Eckstein M, Cooper E, Nguyen T, Pratt FD. PMID: 19291558.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    34. Implementation of specialty centers for patients with ST-segment elevation myocardial infarction. Prehosp Emerg Care. 2009 Apr-Jun; 13(2):215-22. Eckstein M, Koenig W, Kaji A, Tadeo R. PMID: 19291560.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    35. Racial/ethnic differences in bystander CPR in Los Angeles, California. Ethn Dis. 2009; 19(4):401-6. Benson PC, Eckstein M, McClung CD, Henderson SO. PMID: 20073140.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    36. Getting results in L.A.: five years of prehospital 12-lead ECG & STEMI data. JEMS. 2009 Jan; 34(1):13. Eckstein M. PMID: 19256119.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    37. 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. Acker JE, Pancioli AM, Crocco TJ, Eckstein MK, Jauch EC, Larrabee H, Meltzer NM, Mergendahl WC, Munn JW, Prentiss SM, Sand C, Saver JL, Eigel B, Gilpin BR, Schoeberl M, Solis P, Bailey JR, Horton KB, Stranne SK, American Heart Association, American Stroke Association Expert Panel on Emergency Medical Services Systems, Stroke Council. PMID: 17901393.
      View in: PubMed   Mentions: 50     Fields:    Translation:Humans
    38. Enhancing public health preparedness for a terrorist attack involving cyanide. J Emerg Med. 2008 Jul; 35(1):59-65. Eckstein M. PMID: 17976798.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansPHPublic Health
    39. Specialty center boom: is transport to the closest ED a thing of the past? JEMS. 2007 May; 32(5):42-3. Eckstein M. PMID: 17481432.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    40. 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. Saver JL, Kidwell C, Eckstein M, Ovbiagele B, Starkman S, FAST-MAG Pilot Trial Investigators. PMID: 16531374.
      View in: PubMed   Mentions: 14     Fields:    Translation:Humans
    41. Focus on smoke inhalation--the most common cause of acute cyanide poisoning. Prehosp Disaster Med. 2006 Mar-Apr; 21(2):s49-55. Eckstein M, Maniscalco PM. PMID: 16771012.
      View in: PubMed   Mentions: 12     Fields:    
    42. Prehospital 12-lead speeds care. JEMS. 2005 Aug; 30(8):38, 40-1. Eckstein M. PMID: 16335449.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    43. Facilitating EMS turnaround intervals at hospitals in the face of receiving facility overcrowding. Prehosp Emerg Care. 2005 Jul-Sep; 9(3):267-75. Eckstein M, Isaacs SM, Slovis CM, Kaufman BJ, Loflin JR, O'Connor RE, Pepe PE, U.S. Metropolitan Municipalities' EMS Medical Directors Consortium. PMID: 16147474.
      View in: PubMed   Mentions: 7     Fields:    
    44. Managing the pregnant trauma patient. JEMS. 2005 May; 30(5):110-27; quiz 130-1. Eckstein M. PMID: 15902086.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    45. Cardiac Arrest Resuscitation Evaluation in Los Angeles: CARE-LA. Ann Emerg Med. 2005 May; 45(5):504-9. Eckstein M, Stratton SJ, Chan LS. PMID: 15855947.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    46. Pulseless electrical activity: a diagnostic challenge for EMS. Prehosp Emerg Care. 2005 Apr-Jun; 9(2):231-5. Benson P, Eckstein M. PMID: 16036852.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    47. Termination of resuscitative efforts for out-of-hospital cardiac arrests. Acad Emerg Med. 2005 Jan; 12(1):65-70. Eckstein M, Stratton SJ, Chan LS. PMID: 15635140.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    48. The effect of emergency department crowding on paramedic ambulance availability. Ann Emerg Med. 2004 Jan; 43(1):100-5. Eckstein M, Chan LS. PMID: 14707948.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    49. Helicopter transport of pediatric trauma patients in an urban emergency medical services system: a critical analysis. J Trauma. 2002 Aug; 53(2):340-4. Eckstein M, Jantos T, Kelly N, Cardillo A. PMID: 12169944.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    50. 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. Eckstein M, Suyehara D. PMID: 11781907.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans