Bio

Clinical Focus


  • Emergency Medicine

Academic Appointments


Administrative Appointments


  • Co-Medical Director, Peninsula Family Advocacy Program, A Medical Legal Partnership (2014 - Present)

Honors & Awards


  • Stanford Health Care Innovation Challenge Program Grant, Spectrum (1/2015-1/2016)
  • KL2 Mentored Career Development Award, Spectrum (7/1/2016)

Boards, Advisory Committees, Professional Organizations


  • Fellow, Center for Innovation in Global Health (2015 - Present)
  • Member, Expert Panel on Population Health in Medical Education, Association of American Medical Colleges (2015 - Present)
  • Advisory Board Member, Peninsula Family Advocacy Program (2013 - Present)
  • Member, Medical-Legal Partnership Bay Area Coalition (2013 - Present)
  • Member, Bay Area Regional Help Desk Consortium (2013 - 2015)
  • Member, American Academy of Emergency Medicine (2010 - Present)
  • Member, Society for Academic Emergency Medicine (2010 - Present)
  • Member, American College of Emergency Physicians (2009 - Present)

Professional Education


  • Board Certification: Emergency Medicine, American Board of Emergency Medicine (2014)
  • Fellow, Division of Emergency Medicine, Department of Surgery, Stanford School of Medicine, Social Emergency Medicine and Population Health (2014)
  • Residency:Stanford University Medical Center (2013) CA
  • Medical Education:University of Chicago School of Medicine (2010) IL
  • JD, University of Chicago Law School, Law (2008)

Research & Scholarship

Current Research and Scholarly Interests


Interests include global emergency medicine research, emergency obstetric and neonatal care in low- and middle-income countries, gender-based violence, and the intersection of emergency medicine, social justice, and development goals.

Publications

All Publications


  • Addressing Social Determinants of Health from the Emergency Department through Social Emergency Medicine. The western journal of emergency medicine Anderson, E. S., Lippert, S., Newberry, J., Bernstein, E., Alter, H. J., Wang, N. E. 2016; 17 (4): 487-489

    View details for DOI 10.5811/westjem.2016.5.30240

    View details for PubMedID 27429706

  • Using an emergency response infrastructure to help women who experience gender-based violence in Gujarat India BULLETIN OF THE WORLD HEALTH ORGANIZATION Newberry, J. A., Mahadevan, S., Gohil, N., Jamshed, R., Prajapati, J., Rao, G. V., Strehlow, M. 2016; 94 (5): 388-392

    Abstract

    Many women who experience gender-based violence may never seek any formal help because they do not feel safe or confident that they will receive help if they try.A public-private-academic partnership in Gujarat, India, established a toll-free telephone helpline - called 181 Abhayam - for women experiencing gender-based violence. The partnership used existing emergency response service infrastructure to link women to phone counselling, nongovernmental organizations (NGOs) and government programmes.In India, the lifetime prevalence of gender-based violence is 37.2%, but less than 1% of women will ever seek help beyond their family or friends. Before implementation of the helpline, there were no toll-free helplines or centralized coordinating systems for government programmes, NGOs and emergency response services.In February 2014, the helpline was launched across Gujarat. In the first 10 months, the helpline assisted 9767 individuals, of which 8654 identified themselves as women. Of all calls, 79% (7694) required an intervention by phone or in person on the day they called and 43% (4190) of calls were by or for women experiencing violence.Despite previous data that showed women experiencing gender-based violence rarely sought help from formal sources, women in Gujarat did use the helpline for concerns across the spectrum of gender-based violence. However, for evaluating the impact of the helpline, the operational definitions of concern categories need to be further clarified. The initial triage system for incoming calls was advantageous for handling high call volumes, but may have contributed to dropped calls.

    View details for DOI 10.2471/BLT.15.163741

    View details for Web of Science ID 000376472800024

    View details for PubMedID 27147769

  • Social determinants of health from the emergency department: The practice of social emergency medicine WestJEM Anderson, E. S., Lippert, S., Newberry, J. A., Bernstien, E., Alter, H. J., Wang, N. E. 2016
  • Barriers to Real-Time Medical Direction via Cellular Communication for Prehospital Emergency Care Providers in Gujarat, India. Cure¯us Lindquist, B., Strehlow, M. C., Rao, G. V., Newberry, J. A. 2016; 8 (7)

    Abstract

    Many low- and middle-income countries depend on emergency medical technicians (EMTs), nurses, midwives, and layperson community health workers with limited training to provide a majority of emergency medical, trauma, and obstetric care in the prehospital setting. To improve timely patient care and expand provider scope of practice, nations leverage cellular phones and call centers for real-time online medical direction. However, there exist several barriers to adequate communication that impact the provision of emergency care. We sought to identify obstacles in the cellular communication process among GVK Emergency Management and Research Institute (GVK EMRI) EMTs in Gujarat, India.A convenience sample of practicing EMTs in Gujarat, India were surveyed regarding the barriers to call initiation and completion.108 EMTs completed the survey. Overall, ninety-seven (89.8%) EMTs responded that the most common reason they did not initiate a call with the call center physician was insufficient time. Forty-six (42%) EMTs reported that they were unable to call the physician one or more times during a typical workweek (approximately 5-6 twelve-hour shifts/week) due to their hands being occupied performing direct patient care. Fifty-eight (54%) EMTs reported that they were unable to reach the call center physician, despite attempts, at least once a week.This study identified multiple barriers to communication, including insufficient time to call for advice and inability to reach call center physicians. Identification of simple interventions and best practices may improve communication and ensure timely and appropriate prehospital care.

    View details for DOI 10.7759/cureus.676

    View details for PubMedID 27551654

  • Characteristics and outcomes of women using emergency medical services for third-trimester pregnancy-related problems in India: a prospective observational study. BMJ open Strehlow, M. C., Newberry, J. A., Bills, C. B., Min, H. E., Evensen, A. E., Leeman, L., Pirrotta, E. A., Rao, G. V., Mahadevan, S. V. 2016; 6 (7)

    Abstract

    Characterise the demographics, management and outcomes of obstetric patients transported by emergency medical services (EMS).Prospective observational study.Five Indian states using a centralised EMS agency that transported 3.1 million pregnant women in 2014.This study enrolled a convenience sample of 1684 women in third trimester of pregnancy calling with a 'pregnancy-related' problem for free-of-charge ambulance transport. Calls were deemed 'pregnancy related' if categorised by EMS dispatchers as 'pregnancy', 'childbirth', 'miscarriage' or 'labour pains'. Interfacility transfers, patients absent on ambulance arrival and patients refusing care were excluded.Emergency medical technician (EMT) interventions, method of delivery and death.The median age enrolled was 23 years (IQR 21-25). Women were primarily from rural or tribal areas (1550/1684 (92.0%)) and lower economic strata (1177/1684 (69.9%)). Time from initial call to hospital arrival was longer for rural/tribal compared with urban patients (66 min (IQR 51-84) vs 56 min (IQR 42-73), respectively, p<0.0001). EMTs assisted delivery in 44 women, delivering the placenta in 33/44 (75%), performing transabdominal uterine massage in 29/33 (87.9%) and administering oxytocin in none (0%). There were 1411 recorded deliveries. Most women delivered at a hospital (1212/1411 (85.9%)), however 126/1411 (8.9%) delivered at home following hospital discharge. Follow-up rates at 48 hours, 7 days and 42 days were 95.0%, 94.4% and 94.1%, respectively. Four women died, all within 48 hours. The caesarean section rate was 8.2% (116/1411). On multivariate regression analysis, women transported to private hospitals versus government primary health centres were less likely to deliver by caesarean section (OR 0.14 (0.05-0.43)) CONCLUSIONS: Pregnant women from vulnerable Indian populations use free-of-charge EMS for impending delivery, making it integral to the healthcare system. Future research and health system planning should focus on strengthening and expanding EMS as a component of emergency obstetric and newborn care (EmONC).

    View details for DOI 10.1136/bmjopen-2016-011459

    View details for PubMedID 27449891

  • Implementing an Innovative Prehospital Care Provider Training Course in Nine Cambodian Provinces. Cure¯us Acker, P., Newberry, J. A., Hattaway, L. B., Socheat, P., Raingsey, P. P., Strehlow, M. C. 2016; 8 (6)

    Abstract

    Despite significant improvements in health outcomes nationally, many Cambodians continue to experience morbidity and mortality due to inadequate access to quality emergency medical services. Over recent decades, the Cambodian healthcare system and civil infrastructure have advanced markedly and now possess many of the components required to establish a well functioning emergency medical system. These components include enhanced access to emergency transportation through large scale road development efforts, widspread availability of emergency communication channels via the spread of cellphone and internet technology, and increased access to health services for poor patients through the implementation of health financing schemes. However, the system still lacks a number of key elements, one of which is trained prehospital care providers. Working in partnership with local providers, our team created an innovative, Cambodia-specific prehospital care provider training course to help fill this gap. Participants received training on prehospital care skills and knowledge most applicable to the Cambodian healthcare system, which was divided into four modules: Basic Prehospital Care Skills and Adult Medical Emergencies, Traumatic Emergencies, Obstetric Emergencies, and Neonatal/Pediatric Emergencies. The course was implemented in nine of Cambodia's most populous provinces, concurrent with a number of overarching emergency medical service system improvement efforts. Overall, the course was administered to 1,083 Cambodian providers during a 27-month period, with 947 attending the entire course and passing the course completion exam.

    View details for DOI 10.7759/cureus.656

    View details for PubMedID 27489749

  • Barriers to Real-Time Medical Direction via Cellular Communication for Prehospital Emergency Care Providers in Gujarat, India Cureus Lindquist, B., Strehlow, M., Rao, G., Newberry, J. 2016

    View details for DOI 10.7759/cureus.676

  • Implementing an Innovative Prehospital Care Provider Training Course in Nine Cambodian Provinces Cureus Acker, P. C. 2016; 8 (6)

    View details for DOI 10.7759/cureus.656

  • Image diagnosis: Perilunate and lunate dislocations. The Permanente journal Newberry, J. A., Garmel, G. M. 2012; 16 (1): 70-71

    View details for PubMedID 22529764