I was raised in the suburbs of Chicago and moved to Cleveland to obtain an undergraduate education. Then I returned to Chicago for my medical degree and pursued emergency medicine residency training in Brooklyn, NY. I now work at Stanford University with residents and medical students and focus upon teaching and clinical work within the Emergency Department.

Clinical Focus

  • Emergency Medicine

Academic Appointments

Boards, Advisory Committees, Professional Organizations

  • Member, SSIH (2012 - Present)
  • Member, ACEP (2009 - Present)

Professional Education

  • Board Certification: Emergency Medicine, American Board of Emergency Medicine (2015)
  • Residency:SUNY Downstate College of Medicine (2013) NY
  • Medical Education:Rush University Medical College (2009) IL

Research & Scholarship

Current Research and Scholarly Interests

My interests include exploring the developing arena of the use of social media, community created online educational curriculum in medical education.


All Publications

  • Noninvasive Ventilation For Patients In Acute Respiratory Distress: An Update. Emergency medicine practice Joshi, N., Estes, M. K., Shipley, K., Lee, H. D. 2017; 19 (2): 1-20


    Over the last 20 years, noninvasive ventilation (NIV) strategies have been used with increasing frequency. The ease of use of NIV makes it applicable to patients presenting in a variety of types of respiratory distress. In this review, the physiology of positive pressure ventilation is discussed, including indications, contraindications, and options for mask type and fit. Characteristics of patients who are most likely to benefit from NIV are reviewed, including those in respiratory distress from chronic obstructive pulmonary disease exacerbation and cardiogenic pulmonary edema. The literature for other respiratory pathologies where NIV may be used, such as in asthma exacerbation, pediatric patients, and community-acquired pneumonia, is also reviewed. Controversies and potential future applications of NIV are presented.

    View details for PubMedID 28118145

  • Blog and Podcast Watch: Neurologic Emergencies. The western journal of emergency medicine Grock, A., Joshi, N., Swaminathan, A., Rezaie, S., Gaafary, C., Lin, M. 2016; 17 (6): 726-733


    The WestJEM Blog and Podcast Watch presents high quality open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing ALiEM Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of neurologic emergencies from the AIR series.The AIR series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Director's (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 Social Media Index sites published within the previous 12 months, and scored by eight board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27-29 receive an honorable mention label, if the executive board agrees that the post is accurate and educationally valuable.A total of 125 blog posts and podcasts were evaluated. Key educational pearls from the 14 AIR posts are summarized, and the 20 honorable mentions are listed.The WestJEM Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians with this installment focusing on neurologic emergencies.

    View details for PubMedID 27833680

    View details for PubMedCentralID PMC5102599

  • Top 10 (+1) tips to get started with in situ simulation in emergency and critical care departments EMERGENCY MEDICINE JOURNAL Spurr, J., Gatward, J., Joshi, N., Carley, S. D. 2016; 33 (7): 514-516


    Simulation is increasingly valued as a teaching and learning tool in emergency medicine. Bringing simulation into the workplace to train in situ offers a unique and effective training opportunity for the emergency department (ED) multiprofessional workforce. Integrating simulation in a busy department is difficult but can be done. In this article, we outline 10 tips to help make it happen.

    View details for DOI 10.1136/emermed-2015-204845

    View details for Web of Science ID 000378165800015

    View details for PubMedID 26969169

  • In reply. Annals of emergency medicine Thoma, B., Joshi, N., Chan, T., Lin, M., Trueger, N. S. 2015; 65 (4): 467-?

    View details for DOI 10.1016/j.annemergmed.2014.12.018

    View details for PubMedID 25805035

  • Spontaneous pneumomediastinum on bedside ultrasound: case report and review of the literature. The western journal of emergency medicine Zachariah, S., Gharahbaghian, L., Perera, P., Joshi, N. 2015; 16 (2): 321-324


    Spontaneous pneumomediastinum is a rare disease process with no clear etiology, although it is thought to be related to changes in intrathoracic pressure causing chest pain and dyspnea. We present a case of a 17-year-old male with acute chest pain evaluated initially by bedside ultrasound, which showed normal lung sliding but poor visualization of the parasternal and apical cardiac views due to significant air artifact, representing air in the thoracic cavity. The diagnosis was later verified by chest radiograph. We present a case report on ultrasound-diagnosed pneumomediastinum, and we review the diagnostic modalities to date.

    View details for DOI 10.5811/westjem.2015.1.24514

    View details for PubMedID 25834681

    View details for PubMedCentralID PMC4380390

  • Social media responses to the annals of emergency medicine residents' perspective article on multiple mini-interviews. Annals of emergency medicine Joshi, N. K., Yarris, L. M., Doty, C. I., Lin, M. 2014; 64 (3): 320-325


    In May 2014, Annals of Emergency Medicine continued a successful collaboration with an academic Web site, Academic Life in Emergency Medicine (ALiEM) to host an online discussion session featuring the 2014 Annals Residents' Perspective article "Does the Multiple Mini-Interview Address Stakeholder Needs? An Applicant's Perspective" by Phillips and Garmel. This dialogue included Twitter conversations, a live videocast with the authors and other experts, and detailed discussions on the ALiEM Web site's comment section. This summary article serves the dual purpose of reporting the qualitative thematic analysis from a global online discussion and the Web analytics for our novel multimodal approach. Social media technologies provide a unique opportunity to engage with a diverse audience to detect existing and new emerging themes. Such technologies allow rapid hypothesis generation for future research and enable more accelerated knowledge translation.

    View details for DOI 10.1016/j.annemergmed.2014.07.024

    View details for PubMedID 25149965