Prehospital and Emergency Healthcare


The emergency programs we carry out are carefully assessed. The GCRME was among the first to train and demonstrate the ability of paramedics to diagnose acute heart attacks on the electrocardiogram, as well as their ability to diagnose and manage stroke victims.

Recent Emergency research and publications include:

  • Motola I, Burns WA, Brotons AA, Rodriguez RD, Withum KF, Hernandez S, Rivera HF, Issenberg SB, Schulman CI. Just-in-Time Learning is Effective in Helping First Responders Manage Weapons of Mass Destruction Events. J Trauma Acute Care Surg. 2015 Jun 30. [Epub ahead of print]
  • Seery JM, Brotons AA, MacGregor JH, Rivera HF, White WG, Motola I, Schulman CI. High-Fidelity Hybrid Simulator for Interprofessional Trauma Team Training. Presented at the International Meeting on Simulation in Healthcare. January 11, 2015, New Orleans, LA.
  • Burns W, Motola I, Brotons AA, Withum KF, Rodriguez RD, Rivera HF, Issenberg SB, Schulman CI. Just in Time Learning is Effective in Helping First Responders Manage Weapons of Mass Destruction Events. Selected for Oral Presentation at the Military Health Services Research Symposium. August 2014, Fort Lauderdale, FL. (National)
  • Roeckner JT, Motola I, Brotons AA, Rivera HF, Soto RE, Issenberg SB. Implementing and Measuring Efficacy of a Capnography Simulation Training Program for Prehospital Healthcare Providers. Accepted to the Society for Academic Emergency Medicine Meeting, May 2012.
  • Brotons AA, Motola I, Rivera HF, Soto RE, Schwemmer S, Issenberg SB. Correlation of the Miami Emergency Neurologic Deficit (MEND) Exam Performed in the Field by Paramedics with an Abnormal NIHSS and Final Diagnosis of Stroke for Patients Airlifted from the Scene. Presented at the International Stroke Conference (AHA/ASA), February 2012.
  • Motola I, Soto RE, Brotons AA, Rivera HF, Issenberg SB. The Impact of Rapid Response Team Training on Team Dynamics and Provider Self-Confidence. Presented at AHA Resuscitation Science Symposium- Best Original Resuscitation Science Poster Session, November 2011.
  • Motola I, Chan JC, Brotons AA, Miller GT, Issenberg SB. Addressing the Need for Stroke Education Globally: Effectiveness of the Advanced Stroke Life Support Course (ASLS) for Prehospital and Hospital-based Healthcare Providers in Hong Kong. Presented at the International Stroke Conference (AHA/ASA), February 2012.
  • Miller GT, Schenk T, Motola I, Brotons AA, Issenberg SB. Development and integration of serious gaming into a prehospital mass casualty triage course. Presented at the 9th Annual International Meeting on Simulation in Healthcare, January 2009.
  • Fernandez R, Vozenilek J, Hegarty C, Motola I, Reznek M, Phrampus P, Kozlowski S. Developing expert medical teams: toward an evidence-based approach. Academic Emergency Medicine, 15(11):1025-1036, 2008.
  • Motola I, Brotons AA, Rivera HF, Miller GT, Scott JA, Issenberg SB. Airway Management: Principles and Practice – Practical Skills and Simulation Training for First Responders. University of Miami Press, 2008.
  • Miller GT, Issenberg SB, Gordon DL, Gordon MS, Brotons AA, Scalese RJ. Promoting teamwork in emergency medical services through Advanced Life Support competitions. Society for Medical Simulation. Submitted to 6th Annual International Meeting on Medical Simulation, January 2006.
  • Miller GT, Issenberg SB, Scott JA, Brotons AA, Gordon MS. Refresher training recommendations for emergency response to terrorism curricula. Prehospital Emergency Care, 10(4):532, 2006.
  • Miller GT, Scott JA, Issenberg SB, Petrusa ER, Brotons AA, Gordon DL, McGaghie WC, Gordon MS. Development, implementation, and outcomes of a training program for responders to acts of terrorism. Prehospital Emergency Care, 10(2): 239-246, 2006.
  • Scott JA, Miller GT, Issenberg SB, Brotons AA, Gordon DL, Gordon MS, McGaghie WC, Petrusa ER. Skill Improvement during Emergency Response to Terrorism training. Prehospital Emergency Care, 10(4):507-514, 2006.
  • Brotons AA, Scalese RJ, Miller GT, Scott JA, Frometa O, Gordon DL, Gordon MS, Issenberg SB. Emergency Management of Acute Coronary Syndromes: Provider and Instructor Manuals, 5th Edition. University of Miami Press, 2005.
  • Scott JA, Issenberg SB, Miller GT, Brotons AA. Fake it: how to create a simulation training program. Homeland First Response, 3(3):12-17, 2005.
  • Walsh DW, Christen HT, Miller GT, Callsen CE, Cilluffo FJ, Maniscalco PM. National Incident Management System: Principles and Practice: Instructors Tool Kit, 1st Edition. Boston: Jones and Bartlett, 2005.


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