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Dr. Matthew Strehlow is an Associate Professor of Emergency Medicine. He received his doctorate from the University of Washington and completed his emergency medicine residency in the Stanford Kaiser Emergency Medicine Residency Program. Following completion of the Global EM Fellowship at Stanford, he stayed on as faculty with a focus on global health. Currently, Dr. Strehlow serves as Vice Chair of Strategy for the Department of Emergency Medicine along with his roles as Director of Stanford Emergency Medicine International (SEMI) and as Director SEMI's International EM Fellowship. As a Fellow at the Center for Innovation in Global Health and as an advisor to Stanford's Digital Medic initiative, he works across the campus to help advance the University's mission of improving health and education worldwide. Dr. Strehlow is a recognized educator both nationally and internationally focusing on emergency care in developing countries, cardiology, and critical care. His research focuses on the epidemiology of emergencies in developing countries, emergency maternal and child referral systems, scalable inservice education, and the intersection of emergency care systems and gender based violence.
COVID-19 is rapidly spreading across the globe and all providers must be prepared to recognize, stabilize and treat patients with novel coronavirus infection. Following completion of this short course physicians, nurses, and other healthcare professionals will have a unified, evidenced-based approach to saving the lives of patients with COVID-19, including those who are critically ill.Learning modules are broken into short videos presented in a richly illustrated and compelling manner. The course is self paced and providers can schedule their learning to fit with their schedules. Topics include symptoms and signs in patients with COVID-19, early stabilization of patients, preventing the need for intubation, and ventilator management. The best evidence and guidelines are summarized while accompanying handouts provide written learning points and links to online resources. Simple infographics are available for providers to utilize within their care facilities to educate and promote optimal care across their entire institution.
EMS Research in India
GVK Emergency Management and Research Institute
Designing curriculum and training faculty in EM
University Health Sciences
Students and Faculty
Maternal Child Health
EMS System Development
Emergency Care Epidemiology<br/>My research interests center around the development and delivery of emergency care in Low- and Middle-Income-Countries (LMICs), specifically the epidemiology of emergencies and referral systems in these nations. By improving our understanding of how medical and traumatic emergencies vary in these unique and diverse settings as compared to High-Income-Countries, nations and development agencies will be better equipped to advocate for emergency care and optimize the allocation of scarce healthcare resources. The foundation of my research efforts has been as part of Stanford Emergency Medicine International’s (SEMI’s) work developing, launching, and researching India’s prehospital care system from the ground up. In 2007, our Indian partner, GVK EMRI, introduced EMS service in a single city. A decade later, this service is now the largest provider of prehospital and interfacility emergency care in the world, serving over 750 million people. Our pivotal role in this expansive venture has been many-fold. Additionally, I have researched the causes and presentations of emergencies in Cambodia, Nepal, Pakistan, and Uganda. <br/><br/>Maternal Child Newborn and Adolescent Health<br/> In HICs only a few mothers and newborns access care through EMS however, in a number of LMICs fledging EMS systems are becoming critical access mechanisms for pregnant women and infants. In India for example, nearly 40% of the millions of calls to EMS annually are for pregnant women and newborns. Further, we have very little understanding of how the different levels of the public hospital system integrate to form a continuous network of care and the role the private healthcare system plays. We received 7 years of USAID funding focused on maternal child health to strengthen the emergency care and referral system in Cambodia. Our program helped launch national EMS guidelines, standardized triage and EMS protocols, an integrated hospital referral network for pregnant women across one half the country, and stabilization and referral training for healthcare workers at over 650 health centers and hospitals. We continue to study how the maternal and newborn referral network impacts outcomes.<br/><br/>Intimate Partner Violence and Gender Equity<br/>Working at the intersection of emergency care and maternal child health in LMICs has led me to explore how EMS can serve as critical access points for victims of intimate partner violence (IPV). As we researched the epidemiology of medical emergencies across South and Southeast Asia, we identified that a substantial percentage of individuals seeking emergency care were victims of IPV. These victims were presenting with a variety of life-threatening conditions such as poisonings, severe burns, and traumatic injuries. Our work prompted the State Government of Gujarat in India to launch a novel women’s helpline operated by our EMS partner and supported by the police, Home Department, and local NGOs. Our team has analyzed the reach and impact of this helpline working to refine its operations. In conjunction with my partners, I aim to advance our understanding of helpseeking behavior for victims of IPV with a focus on marginalized and minority communities. <br/><br/>Inservice Training of Healthcare Workers<br/>Strengthening healthcare delivery requires a better understanding of how to train healthcare workers. While billions of dollars are spent annually on training healthcare workers across the globe little evidence exists on how to effectively reach and train healthcare workers in lower resource settings. We have utilized a number of different approaches depending on learner, resources, and local environment. With each of these we have advanced our understanding of how learners with different training backgrounds, cultures, and resources learn. Currently, to combat the COVID-19 pandemic we worked in partnership with Digital Medic to develop a massive open online course for bedside healthcare workers.
Reevaluation Of Systemic Early Neuromuscular Blockade
This study evaluates whether giving a neuromuscular blocker (skeletal muscle relaxant) to a
patient with acute respiratory distress syndrome will improve survival. Half of the patients
will receive a neuromuscular blocker for two days and in the other half the use of
neuromuscular blockers will be discouraged.
Stanford is currently not accepting patients for this trial.
For more information, please contact SPECTRUM, 6507236576.
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Protocolized Care for Early Septic Shock
The ProCESS study is large, 5-year, multicenter study of alternative resuscitation strategies
for septic shock. The study hypothesizes that there are "golden hours" in the initial
management of septic shock where prompt, rigorous, standardized care can improve clinical
Stanford is currently not accepting patients for this trial.
For more information, please contact Valerie Ojha, 6504986210.