
Michael Jay Bresler
Clinical Professor, Emergency Medicine
Bio
Dr. Bresler is a Clinical Professor of Emergency Medicine. Well known as
an educator, Dr. Bresler is frequently invited to lecture throughout the
United States as well as internationally. His publications in the medical
literature include a number of textbooks, textbook chapters, and peer
reviewed journal articles.
Dr. Bresler has been quite active in a variety of health care arenas relating
to Emergency Medicine. He has written both California and Federal health
care legislation and has testified frequently on health care issues being
considered by both the California state legislature and the United States
Congress. Among his legislative accomplishments are a surcharge on
vehicular fines, which raises over $100 million annually in California to
support emergency care for indigent patients, a state law to prevent the
“dumping” of medically unstable indigent patients from one hospital to
another, and portions of the federal anti-dumping law which provide
whistle blower protection.
Dr. Bresler has won the highest awards for leadership from both the
American College of Emergency Physicians (Wiegenstein Award) as well as
the California chapter (Edwards Award). He served for a number of years
as Speaker of the National Council (House of Delegates) of the American
College of Emergency Physicians, and before that as President of the
California chapter. The American College of Emergency Physicians has
designated Dr. Bresler as an Honorary Member and a Life Fellow of the
College, as well as a Hero of Emergency Medicine.
Dr. Bresler’s many educational projects have included associate editorship of the
textbook Cardiovascular Emergencies published by the American College
of Emergency Physicians, and associate editorship of The Textbook of Emergency
Cardiovascular Care and CPR, published jointly by the American Heart
Association and the American College of Emergency Physicians.
Honors & Awards
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Lifetime Achievement Award, Department of Emergency Medicine, Stanford University School of Medicine (2015)
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Wiegenstein Award "For inspiration, dedication, advocacy, and vision", American College of Emergency Physicians (The College's highest award) (1994)
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Walter T. Edwards Award for Outstanding Service, California Chapter, ACEP - (The Chapter's highest award for leadership) (1990)
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Special Resolution of Commendation for Outstanding Service, American College of Emergency Physicians (1993)
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Hero of Emergency Medicine For "Outstanding achievement and dedication to emergency medicine, American College of Emergency Physicians (2008)
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Council Meritorious Service Award, National Council, American College of Emergency Physicians (1997)
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Honorary Member, American College of Emergency Physicians (1994)
Professional Education
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M.D., Stanford University, Chief Resident (Emergency Medicine) (1979)
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M.D., Santa Clara Valley Medical Center, Fellowship (Emergency Medicine) (1974)
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M.D., Santa Clara Valley Medical Center, Internship (Emergency Medicine emphasis) (1974)
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M.D., Stanford University, Medicine (1973)
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B.A., Amherst College, Biology (1968)
Community and International Work
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Health Care Legislation
Topic
Federal & State Legislation
Partnering Organization(s)
ACEP; CAL/ACEP; CMA
Populations Served
Emergency department patients
Location
US
Ongoing Project
Yes
Opportunities for Student Involvement
Yes
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Emergency Medicine education, Bhutan; Nepal; Kenya; Israel; Brazil; China; Vietnam
Topic
Teaching emergency medicine
Partnering Organization(s)
ACEP; CALl/ACEP
Populations Served
Local populations; American delegations
Location
International
Ongoing Project
No
Opportunities for Student Involvement
No
Current Research and Scholarly Interests
Health Care Policy & Legislation
2021-22 Courses
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Independent Studies (4)
- Directed Reading in Surgery
SURG 299 (Aut) - Graduate Research
SURG 399 (Aut) - Medical Scholars Research
SURG 370 (Aut) - Undergraduate Research
SURG 199 (Aut)
- Directed Reading in Surgery
All Publications
- Cardiovascular Emergencies edited by Mattu, A., Brady, W. J., Bresler, M. J., Silvers, S. M., Stahmer, S. A., Tabas, J. A. American College of Emergency Physicians. 2014
- Textbook of Cardiovascular Care and CPR 2009
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Reperfusion strategies in the emergency treatment of ST-segment elevation myocardial infarction
AMERICAN JOURNAL OF EMERGENCY MEDICINE
2007; 25 (3): 353-366
Abstract
Prompt restoration of blood flow is the primary treatment goal in ST-segment elevation myocardial infarction to optimize clinical outcomes. The ED plays a critical role in rapid triage, diagnosis, and management of ST-elevation myocardial infarction, and in the decision about which of the 2 recommended reperfusion options, that is, pharmacologic and mechanical (catheter-based) strategies, to undertake. Guidelines recommend percutaneous coronary intervention (PCI) if the medical contact-to-balloon time can be kept under 90 minutes, and timely administration of fibrinolytics if greater than 90 minutes. Most US hospitals do not have PCI facilities, which means the decision becomes whether to treat with a fibrinolytic agent, transfer, or both, followed by PCI if needed. Whichever reperfusion approach is used, successful treatment depends on the ED having an integrated and efficient protocol that is followed with haste. Protocols should be regularly reviewed to accommodate changes in clinical practice arising from ongoing clinical trials.
View details for DOI 10.1016/j.ajem.2006.07.013
View details for Web of Science ID 000245163100017
View details for PubMedID 17349914
- Bresler M, Sternbach G: Manual of Emergency Medicine. 1998
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Acute myocardial infarction: subtleties of diagnosis in the emergency department.
Annals of emergency medicine
1990: 1-15
View details for PubMedID 2301786
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FUTURE-ROLE OF THROMBOLYTIC THERAPY IN EMERGENCY MEDICINE
ANNALS OF EMERGENCY MEDICINE
1989; 18 (12): 1331-1338
Abstract
Thrombolytic therapy offers the promise of major therapeutic intervention in many areas as well as in the treatment of patients with acute myocardial infarction who present to the emergency department. Infusion of tissue-type plasminogen activator (tPA) during field transport has been proven safe, but optimal methods for reliably diagnosing acute myocardial infarction in the prehospital setting have yet to be delineated. A major advance would be achieved if thrombolysis were proven effective in preventing the progression of unstable angina to actual infarction. However, early studies have yielded contradictory results. The use of tPA in dissolving peripheral arterial clots appears very promising, but long-term limb survival has yet to be demonstrated. Unlike heparin, thrombolytic agents can also lyse clot in peripheral deep veins and possibly lessen the tendency toward postphlebitic syndrome. The proper dosage regimen to minimize hemorrhage has not been determined. Pulmonary emboli can be lysed by tPA. IV infusion is as effective as intrapulmonary. Significant complications can be minimized, particularly if major vessel catheterization can be avoided for diagnosis. Even after catheterization for pulmonary angiography, however, thrombolytic therapy appears quite promising. The use of thrombolytic agents for embolic-thrombotic stroke is less promising: therefore, the risk of hemorrhagic complication may not outweigh the potential benefit. Thrombolytic therapy thus offers the potential for significant impact on the practice of emergency medicine.
View details for Web of Science ID A1989CC66800014
View details for PubMedID 2511790
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Near-fatal suicidal hanging.
journal of emergency medicine
1989; 7 (5): 513-516
View details for PubMedID 2607113
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The adult respiratory distress syndrome.
Emergency medicine clinics of North America
1989; 7 (2): 419-430
Abstract
ARDS is a pulmonary injury syndrome associated with a variety of clinical disorders. The pathophysiology of ARDS has been clarified substantially in the past several years. Neutrophils are probably the chief mediators of pulmonary injury, serving as the focus for release of several toxic substances that cause capillary endothelial and alveolar epithelial damage. The mortality rate in ARDS remains high despite advances in elucidating of pathogenesis. Newer approaches to management stress earlier identification of patients and specific therapy aimed at interfering with the damage produced by toxic mediators of pulmonary injury.
View details for PubMedID 2653808
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Emergency medicine: computed tomography versus peritoneal lavage in blunt abdominal trauma.
Western journal of medicine
1987; 146 (5): 610-?
View details for PubMedID 18750249
View details for PubMedCentralID PMC1307420
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COMPUTED-TOMOGRAPHY OF THE ABDOMEN
ANNALS OF EMERGENCY MEDICINE
1986; 15 (3): 280-285
View details for Web of Science ID A1986A189000015
View details for PubMedID 3511790
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The agenda for emergency medicine.
American journal of emergency medicine
1984; 2 (2): 175-176
View details for PubMedID 6518003
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The polarization of emergency medical care.
American journal of emergency medicine
1983; 1 (2): 240-241
View details for PubMedID 6680626
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TOXIC SHOCK SYNDROME DUE TO OCCULT POSTOPERATIVE WOUND-INFECTION
WESTERN JOURNAL OF MEDICINE
1983; 139 (5): 710-713
View details for Web of Science ID A1983RU81000023
View details for PubMedID 6659496
View details for PubMedCentralID PMC1010984
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SCREENING FOR GLAUCOMA IN PATIENTS RECEIVING PSYCHOTROPICS
PSYCHOSOMATICS
1982; 23 (2): 205-206
View details for Web of Science ID A1982ND30900009
View details for PubMedID 7071308
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OCCULT CERVICAL-SPINE FRACTURE IN AN AMBULATORY PATIENT
ANNALS OF EMERGENCY MEDICINE
1982; 11 (8): 440-442
Abstract
Significant injury to the cervical spine many not be obvious in patients whose mental status is decreased. We present the case of a fully conscious, ambulatory patient with no complaint of neck pain and only mild tenderness on examination who nevertheless had sustained an unstable fracture-dislocation of the cervical spine. Following surgery, the patient recovered without permanent neurologic sequelae. Criteria are suggested for ordering radiographic studies of the cervical spine for victims of trauma.
View details for Web of Science ID A1982PH08000011
View details for PubMedID 7103163
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PRECEPTORSHIPS FOR EMERGENCY PHYSICIANS
ANNALS OF EMERGENCY MEDICINE
1981; 10 (7): 381-384
Abstract
We describe a preceptorship developed in response to needs identified by surveys of emergency physicians in our community. The policies and procedures necessary to establish the program and the problems encountered are described. Major factors influencing the success of these programs include commitment by the institution's faculty, availability of administrative staff, financial support, and ongoing evaluation and feedback. A set of recommendations is offered for educational institutions considering the establishment of preceptorships.
View details for Web of Science ID A1981LW04400010
View details for PubMedID 7247094
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PREVENTION OF LATROGENIC ACUTE NARROW-ANGLE GLAUCOMA
ANNALS OF EMERGENCY MEDICINE
1981; 10 (10): 535-537
Abstract
The pathophysiology of glaucoma is reviewed, and the risks of pharmacologic pupillary dilation are discussed. A simple transillumination screening test for identifying patients in whom mydriasis presents a risk is described.
View details for Web of Science ID A1981MH91500010
View details for PubMedID 7283221