Emergency Cardiology and Resuscitation Fellowship

Overview

This fellowship is designed for Emergency Medicine graduates who desire additional training and expertise in cardiac and resuscitation science at one of the busiest STEMI/cardiac arrest receiving centers in the San Francisco Bay Area. This one-year fellowship allows fellows to gain clinical expertise in the management of cardiovascular emergencies, including caring for the critically ill patient in cardiogenic shock, as well as solidifying echocardiography skills.  Additionally, fellows spend time with our Alameda County EMS service to analyze and improve prehospital care of patients with cardiac emergencies.  Finally, fellows are expected to produce clinical research and author review articles/case reports in cardiology, as well as teach cardiovascular emergencies to residents and medical students using a variety of methods, including simulation-based education.

  • Cardiology: 5.5 months

  • Echocardiography (formal and point-of care): 2 months

  • EMS/cardiac arrest quality improvement: 2 months

    Research/Education: 2 months

    Vacation: 0.5 months

8 clinical shifts in the ED per month @ Highland Hospital

Additionally fellows will attend both the European Resuscitation Council and American Heart Association's annual meetings on Cardiac Arrest care

Amandeep Singh, M.D., Director of Critical Care

Fellowship Director

Martha E. Montgomery, M.D.

Current/Past Fellow (2019-2020)

Born and raised in the Bay Area, Martha attended UC Santa Cruz as an undergrad and worked for 10 years as a community-based outreach worker, case manager, and public health researcher prior to medical school. She attended the UC Berkeley – UCSF Joint Medical Program, where she earned an MS from the UC Berkeley School of Public Health with an emphasis in quantitative research methods, alongside her MD from UCSF as a PRIME-US cohort member. She completed a residency in Emergency Medicine at Alameda Health System – Highland Hospital in 2019. Her ED interests include cardiac arrest, ED-based critical care, trauma, homelessness, substance use disorders, and clinical education. She is looking forward to integrating formal echo training and TEE into her care of critically ill patients in the ED.

 

Dr. Montgomery’s Publications:

Coauthor, textbook chapter. “Chapter 69: Infective Endocarditis and Valvular Heart Disease,” Rosen’s Emergency Medicine: Concepts and Clinical Practice, 10e (Forthcoming edition).

Coauthor, original manuscript. “A Prospective Study of the Incidence of Intracranial Hemorrhage in Survivors of Out of Hospital Cardiac Arrest.” (Submitted, under review).

Coauthor, clinical review, Emergency Medicine Practice, EB Medicine. “Cardiac Channelopathies.” (In process).

 

Dr. Montgomery’s Conferences and Educational Experiences:

  • European Resuscitation Council 2020, Ljubljana, Slovenia 

  • Mediterranean Emergency Medicine Conference 2020, Dubrovnik, Croatia

  • ECMO PRN, Introduction to ECMO, San Francisco Bay Area 2020

  • Hennepin Healthcare Research Institute CPR Lab 2020 (Dr Keith Lurie), Minneapolis, Minnesota

Carnell J, Singh A.  Supraventricular Tachycardia.  Emergency Medicine Practice 2008;10(4):1-28.

 

Clattenburg EJ, Wroe P, Brown S, Gardner K, Losonczy L, Singh A, Nagdev A.  Point-of-care ultrasound use in patients with cardiac arrest is associated with prolonged cardiopulmonary resuscitation pauses: A prospective cohort study.  Resuscitation 2018;122:65-68.  PMID 29175356.

 

Clattenburg EJ, Wroe P, Gardner K, Losonczy L, Singh A, Nagdev A.  Reply to: Point-of-care ultrasound use in patients with cardiac arrest: More harmful than useful?  Resuscitation 2018;124:e23-e24.  PMID: 29502683.

 

Clattenburg EJ, Wroe PC, Gardner K, Schultz C, Gelber J, Singh A, Nagdev A.  Implementation of the Cardiac Arrest Sonographic Assessment (CASA) protocol for patients with cardiac arrest is associated with shortened CPR pulse checks.  Resuscitation 2018;131:69-73.  PMID 30071262.

 

Durant E, Singh A.  Acute first diagonal artery occlusion: A characteristic pattern of ST elevation in noncontiguous leads.  Am J Emerg Med 2015;22:1326.e3-5.  PMID: 25722286.

 

Durant E, Singh A.  ST elevation due to hypercalcemia – Case report and review of the literature.  Am J Emerg Med 2017; PMID: 28209241.

 

Gardner KF, Clattenburg EJ, Wroe P, Singh A, Mantuani D, Nagdev A.  The Cardiac Arrest Sonographic Assessment (CASA) exam – A standardized approach to the use of ultrasound in PEA.  Am J Emerg Med 2018;36:729-731.  PMID 28851499.

 

Gelber J, Montgomery M, Singh A.  A Prospective Study of the Incidence of Intracranial Hemorrhage in Survivors of Out of Hospital Cardiac Arrest.  Am J Emerg Med 2020: accepted, pending publication.

 

Hoang A, Singh A, Singh A.  Comparing physicians and experienced advanced practice practitioners on the interpretation of electrocardiograms in the emergency department.  Am J Emerg Med 2020;  PMID 32961403.

 

Lynn J, Singh A, Snoey E, Cheung P.  Can we exclude the diagnosis of NSTEMI on the basis of a single troponin I and symptom duration ≥ 8 hours? ISRN Cardiol 2011; Article ID #364728; 7 pages.  PMID: 22347640.

Noble J, Singh A.  Asymptomatic pulmonary embolus masquerading as acute anteroseptal myocardial infarction.  CJEM 2011;13:62-65.  PMID: 21324301.

 

Singh A.  Cardiopulmonary Resuscitation. In Harken AH and Moore EE (eds): Abernathy’s Surgical Secrets 6th ed.  Philadelphia, Elsevier 2009;pp 19-24.

 

Singh A.  ACS Mimics Part II: Non-ACS causes of ST-segment depression and T-wave abnormalities.  In Mattu A, Tabas J, and Brady W (eds) Electrocardiography in Emergency, Acute, and Critical Care.  2nd ed.  ACEP publisher 2019;pp 159-170.

   

Singh A.  Monomorphic ventricular tachycardia.  West J Emerg Med 2008;9:216. PMID: 19561748.

 

Sohoni A, Perez B, Singh A.  Wenckebach block due to hyperkalemia: A case report.  Emerg Med Int 2010; Article ID #879751; 4 pages.  PMID: 22046534.

 

Tafoya C, Singh A.  Cardiac memory: A case report and review of the literature.  J Emerg Med 2019;57:85-93:  PMID 31047746 

 

Wroe PC, Clattenburg EJ, Gardner K, Gelber J, Schultz C, Singh A, Nagdev A.  Emergency department use of a mechanical chest compression device frequently causes unanticipated interruptions in cardiopulmonary resuscitation.  Resuscitation 2018;133:e3-e4.  PMID 30244046.