Bio

Bio


Dr. Berg was born and raised in rural Minnesota and has been in academic medicine since 1997. His research interests include CPR performance, pediatric defibrillation science, and education primarily through simulation. He has been a volunteer with the American Heart Association for more than 10 years, leading the Pediatric CPR course (PALS) in 2010. He has served in several administrative positions including Division Chief of Pediatric Critical Care at the University of Arizona, Board Director of the University of Arizona Health Network and Governor-appointed member of the Arizona Medical Board. In his free time he enjoys biking, reading and spending time with his family. He is married with three children and lives in Menlo Park, California.

See his LinkedIn profile here:

https://www.linkedin.com/in/marc-berg-6399934/

Clinical Focus


  • Pediatric Critical Care Medicine

Academic Appointments


Administrative Appointments


  • Medical Director, Revive Initiative for Pediatric Resuscitation Excellence at Packard Children's Hospital-Stanford (2017 - Present)

Professional Education


  • Board Certification: Pediatric Critical Care Medicine, American Board of Pediatrics (2000)
  • Fellowship:University of Utah (2000) UT
  • Residency:University Of Arizona (1997) AZ
  • Medical Education:University of Minnesota Medical School - Twin Cities (1993) MN

Publications

All Publications


  • Healthcare Provider Perceptions of Cardiopulmonary Resuscitation Quality During Simulation Training. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies Troy, L., Knight, L., Olson, M., Chen, M., Gonzales, R., Berg, M., Su, F. 2019

    Abstract

    To assess the relationship between quantitative and perceived cardiopulmonary resuscitation performance when healthcare providers have access to and familiarity with audiovisual feedback devices.Prospective observational study.In situ simulation events throughout a pediatric quaternary care center where the use of continuous audiovisual feedback devices during cardiopulmonary resuscitation is standard.Healthcare providers who serve as first responders to in-hospital cardiopulmonary arrest.High-fidelity simulation of resuscitation with continuous audiovisual feedback.Objective data was collected using accelerometer-based measurements from a cardiopulmonary resuscitation defibrillator/monitor. After the simulation event but before any debriefing, participants completed self-evaluation forms to assess whether they believed the cardiopulmonary resuscitation performed met the American Heart Association guidelines for chest compression rate, chest compression depth, chest compression fraction, chest compression in target, and duration of preshock pause and postshock pause. An association coefficient (kappa) was calculated to determine degree of agreement between perceived performance and the quantitative performance data that was collected from the CPR defibrillator/monitor. Data from 27 mock codes and 236 participants was analyzed. Average cardiopulmonary resuscitation performance was chest compression rate 106 ± 10 compressions per minute; chest compression depth 2.05 ± 0.6 in; chest compression fraction 74% ± 10%; chest compression in target 22% ± 21%; preshock pause 8.6 ± 7.2 seconds; and postshock pause 6.4 ± 8.9 seconds. When all healthcare providers were analyzed, the association coefficient (κ) for chest compression rate (κ = 0.078), chest compression depth (κ = 0.092), chest compression fraction (κ = 0.004), preshock pause (κ = 0.321), and postshock pause (κ = 0.40) was low, with no variable achieving moderate agreement (κ > 0.4).Cardiopulmonary resuscitation performance during mock codes does not meet the American Heart Association's quality recommendations. Healthcare providers have poor insight into the quality of cardiopulmonary resuscitation during mock codes despite access to and familiarity with continuous audiovisual feedback.

    View details for DOI 10.1097/PCC.0000000000002058

    View details for PubMedID 31232856

  • 2018 American Heart Association Focused Update on Pediatric Advanced Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care CIRCULATION Duff, J. P., Topjian, A., Berg, M. D., Chan, M., Haskell, S. E., Joyner, B. L., Lasa, J. J., Ley, S. J., Raymond, T. T., Sutton, R. M., Hazinski, M., Atkins, D. L. 2018; 138 (23): E731–E739
  • Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative PEDIATRIC CRITICAL CARE MEDICINE Niles, D. E., Duval-Arnould, J., Skellett, S., Knight, L., Su, F., Raymond, T. T., Sweberg, T., Sen, A. I., Atkins, D. L., Friess, S. H., de Caen, A. R., Kurosawa, H., Sutton, R. M., Wolfe, H., Berg, R. A., Silver, A., Hunt, E. A., Nadkarni, V. M., Pediat Resuscitation Quality pediR 2018; 19 (5): 421–32

    Abstract

    Pediatric in-hospital cardiac arrest cardiopulmonary resuscitation quality metrics have been reported in few children less than 8 years. Our objective was to characterize chest compression fraction, rate, depth, and compliance with 2015 American Heart Association guidelines across multiple pediatric hospitals.Retrospective observational study of data from a multicenter resuscitation quality collaborative from October 2015 to April 2017.Twelve pediatric hospitals across United States, Canada, and Europe.In-hospital cardiac arrest patients (age < 18 yr) with quantitative cardiopulmonary resuscitation data recordings.None.There were 112 events yielding 2,046 evaluable 60-second epochs of cardiopulmonary resuscitation (196,669 chest compression). Event cardiopulmonary resuscitation metric summaries (median [interquartile range]) by age: less than 1 year (38/112): chest compression fraction 0.88 (0.61-0.98), chest compression rate 119/min (110-129), and chest compression depth 2.3 cm (1.9-3.0 cm); for 1 to less than 8 years (42/112): chest compression fraction 0.94 (0.79-1.00), chest compression rate 117/min (110-124), and chest compression depth 3.8 cm (2.9-4.6 cm); for 8 to less than 18 years (32/112): chest compression fraction 0.94 (0.85-1.00), chest compression rate 117/min (110-123), chest compression depth 5.5 cm (4.0-6.5 cm). "Compliance" with guideline targets for 60-second chest compression "epochs" was predefined: chest compression fraction greater than 0.80, chest compression rate 100-120/min, and chest compression depth: greater than or equal to 3.4 cm in less than 1 year, greater than or equal to 4.4 cm in 1 to less than 8 years, and 4.5 to less than 6.6 cm in 8 to less than 18 years. Proportion of less than 1 year, 1 to less than 8 years, and 8 to less than 18 years events with greater than or equal to 60% of 60-second epochs meeting compliance (respectively): chest compression fraction was 53%, 81%, and 78%; chest compression rate was 32%, 50%, and 63%; chest compression depth was 13%, 19%, and 44%. For all events combined, total compliance (meeting all three guideline targets) was 10% (11/112).Across an international pediatric resuscitation collaborative, we characterized the landscape of pediatric in-hospital cardiac arrest chest compression quality metrics and found that they often do not meet 2015 American Heart Association guidelines. Guideline compliance for rate and depth in children less than 18 years is poor, with the greatest difficulty in achieving chest compression depth targets in younger children.

    View details for PubMedID 29533355

  • QUANTITATIVE DIFFUSION-WEIGHTED MRI PREDICTS OUTCOMES IN SURVIVORS OF PEDIATRIC CARDIAC ARREST Yacoub, M., Birchansky, B., Mlynash, M., Berg, M., Knight, L., Hirsch, K., Su, F. LIPPINCOTT WILLIAMS & WILKINS. 2018: 149