Hirshon, Jon Mark | University of Maryland School of Medicine

Academic Title:

Professor

Primary Appointment:

Emergency Medicine

Secondary Appointment(s):

Epidemiology & Public Health

Administrative Title:

Medical Director, University of Maryland Baltimore VA Medical Center Emergency Department

Email:

jhirshon@umaryland.edu

Phone (Primary):

667-214-2208

Fax:

410-328-8026

Education and Training

Education

1984 Bachelor of Arts, Biology and French Literature, University of California, Santa Cruz

1990 Doctor of Medicine, University of Southern California, School of Medicine

1994 Master in Public Health, Johns Hopkins Bloomberg School of Public Health, Special Emphasis on International Health

2011 Doctor of Philosophy in Epidemiology, Department of Epidemiology and Public Health, University of Maryland School of Medicine

Post-Graduate Education and Training

1990–1993 Emergency Medicine Residency, Johns Hopkins Hospital, Johns Hopkins University

1994–1995 Preventive Medicine Residency, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University

Biosketch

Jon Mark Hirshon, MD, PhD, MPH, FACEP, FAAEM, FACPM is dedicated to improving access to high quality acute care in the United States and in every country across the globe. He is a Professor in the Department of Emergency Medicine and in the Department of Epidemiology and Public Health at the University of Maryland School of Medicine. He is the former director of the Charles McC. Mathias, Jr. National Study Center for Trauma and EMS and is currently the Senior Vice-Chairman of the University of Maryland, Baltimore’s Institutional Review Board. Dr. Hirshon is a federally funded researcher and teacher who has been the principal investigator on over $9 million in federal research and training grants and contracts and has been co-investigator on numerous other funded projects. As part of his international work through a National Institutes of Health Fogarty International Center grant, he and his dedicated teams have trained approximately 1200 physicians from Egypt and multiple other countries in the Middle East in acute care related topics including the clinical care of trauma patients, disaster preparedness and response, and injury research methods.

Dr. Hirshon is Board Certified in both Emergency Medicine and Preventive Medicine and has authored approximately 100 articles and chapters on various topics related to improving acute care, including the need to place acute care on the global health agenda and articles on improving emergency department operations. He chaired the American College of Emergency Physicians Task Force that produced the 2014 Report Card on America’s Emergency Care Environment, and has held multiple other leadership positions in state and national organizations, including President of the Maryland Chapter of the American College of Emergency Physicians and Governing Councilor of both the American College of Emergency Physicians and the American Public Health Association. He has been honored by his peers and the American College of Emergency Physicians as a “Hero of Emergency Medicine”. He is currently Chairman of the American College of Emergency Physicians’ National Board of Directors.

Research/Clinical Keywords

Acute care, emergency care, emergency medical services, health systems, research ethics

Highlighted Publications

Millin MG, Comer AC, Nable JV, Johnston PV, Lawner BJ, Woltman N, Levy MJ, Seaman KG, Hirshon JM. Patients without ST elevation after return of spontaneous circulation may benefit from emergent percutaneous intervention: A systematic review and meta-analysis. Resuscitation. 2016 Sep 15. pii: S0300-9572(16)30461-0.doi: 10.1016/j.resuscitation.2016.09.004. [Epub ahead of print] Review. PubMedPMID: 27640933.

Galvagno SM Jr, Sikorski R, Hirshon JM, Floccare D, Stephens C, Beecher D, Thomas S. Helicopter emergency medical services for adults with major trauma. Cochrane Database Syst Rev. 2015 Dec 15;(12):CD009228. doi:10.1002/14651858.CD009228.pub3. Review. PubMed PMID: 26671262.

Hirshon JM, Galvagno SM Jr, Comer A, Millin MG, Floccare DJ, Alcorta RL, Lawner BJ, Margolis AM, Nable JV, Bass RR. Maryland's Helicopter Emergency Medical Services Experience From 2001 to 2011: System Improvements and Patients' Outcomes. Ann Emerg Med. 2016 Mar;67(3):332-340.e3. doi:10.1016/j.annemergmed.2015.07.503. Epub 2015 Sep 30. PubMed PMID: 26433494.

El-Shinawi M, McCunn M, Sisley AC, El-Setouhy M, Hirshon JM. Developing sustainable trauma care education in Egypt: sequential trauma education program, steps to success. J Surg Educ. 2015 Jul-Aug;72(4):e29-32. doi:10.1016/j.jsurg.2014.12.001. Epub 2015 Jan 16. PubMed PMID: 25600355; PubMedCentral PMCID: PMC4469532.

Hirshon JM, Risko N, Calvello EJ, Stewart de Ramirez S, Narayan M, Theodosis C, O'Neill J; Acute Care Research Collaborative at the University of MarylandGlobal Health Initiative. Health systems and services: the role of acute care.Bull World Health Organ. 2013 May 1;91(5):386-8. doi: 10.2471/BLT.12.112664. Epub2013 Jan 31. PubMed PMID: 23678202; PubMed Central PMCID: PMC3646345.

1: Dezman Z, de Andrade L, Vissoci JR, El-Gabri D, Johnson A, Hirshon JM, Staton CA. Hotspots and causes of motor vehicle crashes in Baltimore, Maryland: A geospatial analysis of five years of police crash and census data. Injury. 2016Sep 3. pii: S0020-1383(16)30432-6. doi: 10.1016/j.injury.2016.09.002. [Epub aheadof print] PubMed PMID: 27614672.

2: Shastry S, Koenig KL, Hirshon JM. Zika Virus: Critical Information forEmergency Providers. Emerg Med Clin North Am. 2016 Aug;34(3):e25-37. doi:10.1016/j.emc.2016.04.001. Epub 2016 Jun 24. Review. PubMed PMID: 27475021.

3: Dezman ZD, Comer AC, Smith GS, Narayan M, Hess JR, Hirshon JM. The Severity ofBleeding and Mortality in Trauma Patients Taking Dabigatran. J Emerg Med. 2016Sep;51(3):238-45. doi: 10.1016/j.jemermed.2016.05.005. Epub 2016 Jun 27. PubMedPMID: 27364823.

4: Abir M, Moore M, Chamberlin M, Koenig KL, Hirshon JM, Singh C, Schneider S, Cantrill S. Using Timely Survey-Based Information Networks to Collect Data onBest Practices for Public Health Emergency Preparedness and Response:Illustrative Case From the American College of Emergency Physicians' EbolaSurveys. Disaster Med Public Health Prep. 2016 Aug;10(4):681-90. doi:10.1017/dmp.2016.93. Epub 2016 Jun 16. PubMed PMID: 27306934.

5: Dezman ZD, Comer AC, Narayan M, Scalea TM, Hirshon JM, Smith GS. Alcohol consumption decreases lactate clearance in acutely injured patients. Injury. 2016Sep;47(9):1908-12. doi: 10.1016/j.injury.2016.03.007. Epub 2016 Mar 22. PubMedPMID: 27025567.

6: Lawner BJ, Hirshon JM, Comer AC, Nable JV, Kelly J, Alcorta RL, Pimentel L,Tupe CL, Vanhoy MA, Browne BJ. The impact of a freestanding ED on a regionalemergency medical services system. Am J Emerg Med. 2016 Aug;34(8):1342-6. doi:10.1016/j.ajem.2015.11.042. Epub 2015 Nov 18. PubMed PMID: 26686934.

7: Azab SM, Hirshon JM, Hayes BD, El-Setouhy M, Smith GS, Sakr ML, Tawfik H,Klein-Schwartz W. Epidemiology of acute poisoning in children presenting to thepoisoning treatment center at Ain Shams University in Cairo, Egypt, 2009-2013.Clin Toxicol (Phila). 2016;54(1):20-6. doi: 10.3109/15563650.2015.1112014.Erratum in: Clin Toxicol (Phila). 2016 Mar;54(3):295. Hirshon, John Mark[corrected to Hirshon, Jon Mark]. PubMed PMID: 26653953; PubMed Central PMCID:PMC4933840.

8: Anderson D, Pimentel L, Golden B, Wasil E, Hirshon JM. Drivers of EDefficiency: a statistical and cluster analysis of volume, staffing, andoperations. Am J Emerg Med. 2016 Feb;34(2):155-61. doi:10.1016/j.ajem.2015.09.034. Epub 2015 Oct 3. PubMed PMID: 26508583.

9: Albrecht JS, Hirshon JM, McCunn M, Bechtold KT, Rao V, Simoni-Wastila L, Smith GS. Increased Rates of Mild Traumatic Brain Injury Among Older Adults in USEmergency Departments, 2009-2010. J Head Trauma Rehabil. 2016 Sep-Oct;31(5):E1-7.doi: 10.1097/HTR.0000000000000190. PubMed PMID: 26479396; PubMed Central PMCID:PMC4834064.

10: Dezman ZD, Comer AC, Smith GS, Narayan M, Scalea TM, Hirshon JM. Failure to clear elevated lactate predicts 24-hour mortality in trauma patients. J Trauma Acute Care Surg. 2015 Oct;79(4):580-5. doi: 10.1097/TA.0000000000000810. PubMedPMID: 26402531; PubMed Central PMCID: PMC4586044.

11: Risko N, Anderson D, Golden B, Wasil E, Barrueto F, Pimentel L, Hirshon JM. The impact of electronic health record implementation on emergency physicianefficiency and patient throughput. Healthc (Amst). 2014 Sep;2(3):201-4. doi:10.1016/j.hjdsi.2014.06.003. Epub 2014 Aug 6. PubMed PMID: 26250507.

12: Elboray S, Elawdy MY, Dewedar S, Elezz NA, El-Setouhy M, Smith GS, Hirshon JM. Knowledge, attitudes, and practices of family physicians and nurses regarding unintentional injuries among children under 15 years in Cairo, Egypt. Int J InjContr Saf Promot. 2015 Jul 15:1-8. [Epub ahead of print] PubMed PMID: 26176681;PubMed Central PMCID: PMC4714960.

13: Widener MJ, Ginsberg Z, Schleith D, Floccare DJ, Hirshon JM, Galvagno S. Ground and Helicopter Emergency Medical Services Time Tradeoffs Assessed with Geographic Information. Aerosp Med Hum Perform. 2015 Jul;86(7):620-7. doi:10.3357/AMHP.4173.2015. PubMed PMID: 26102142.

14: Furuno JP, Comer AC, Johnson JK, Rosenberg JH, Moore SL, MacKenzie TD, Hall KK, Hirshon JM. Using antibiograms to improve antibiotic prescribing in skilled nursing facilities. Infect Control Hosp Epidemiol. 2014 Oct;35 Suppl 3:S56-61.doi: 10.1086/677818. PubMed PMID: 25222899.

15: Albrecht JS, Gruber-Baldini AL, Hirshon JM, Brown CH, Goldberg R, Rosenberg JH, Comer AC, Furuno JP. Hospital discharge instructions: comprehension andcompliance among older adults. J Gen Intern Med. 2014 Nov;29(11):1491-8. doi:10.1007/s11606-014-2956-0. Epub 2014 Jul 12. PubMed PMID: 25015430; PubMedCentral PMCID: PMC4238191.

16: Albrecht JS, Gruber-Baldini AL, Hirshon JM, Brown CH, Goldberg R, Rosenberg JH, Comer AC, Furuno JP. Depressive symptoms and hospital readmission in older adults. J Am Geriatr Soc. 2014 Mar;62(3):495-9. doi: 10.1111/jgs.12686. Epub 2014Feb 10. PubMed PMID: 24512099; PubMed Central PMCID: PMC3959240.

17: Report Card Task Force Members; ACEP Staff. America's emergency careenvironment, a state-by-state Report Card: 2014 edition. Ann Emerg Med. 2014Feb;63(2):97-242. doi: 10.1016/j.annemergmed.2013.11.024. PubMed PMID: 24438647.

18: Hirshon JM, Hansoti B, Hauswald M, Sethuraman K, Kerr NL, Scordino D, BirosMH. Ethics in acute care research: a global perspective and research agenda. Acad Emerg Med. 2013 Dec;20(12):1251-8. doi: 10.1111/acem.12271. PubMed PMID:24341580.

19: Brown KM, Hirshon JM, Alcorta R, Weik TS, Lawner B, Ho S, Wright JL. The implementation and evaluation of an evidence-based statewide prehospital pain management protocol developed using the national prehospital evidence-based guideline model process for emergency medical services. Prehosp Emerg Care.2014;18 Suppl 1:45-51. doi: 10.3109/10903127.2013.831510. Epub 2013 Oct 17.PubMed PMID: 24134543.

20: Salah Eldin W, Hirshon JM, Smith GS, Kamal AA, Abou-El-Fetouh A, El-SetouhyM. Health-related quality of life after serious occupational injury in Egyptian workers: a cross-sectional study. BMJ Open. 2012 Nov 27;2(6). pii: e000413. doi: 10.1136/bmjopen-2011-000413. Print 2012. PubMed PMID: 23187968; PubMed CentralPMCID: PMC3533107.

21: Albrecht JS, Hirshon JM, Goldberg R, Langenberg P, Day HR, Morgan DJ, Comer AC, Harris AD, Furuno JP. Serious mental illness and acute hospital readmissionin diabetic patients. Am J Med Qual. 2012 Nov-Dec;27(6):503-8. doi:10.1177/1062860612436576. Epub 2012 Apr 26. PubMed PMID: 22539798; PubMed CentralPMCID: PMC3677605.

22: Hayes BD, Zaharna L, Winters ME, Feemster AA, Browne BJ, Hirshon JM. To-Go medications for decreasing ED return visits. Am J Emerg Med. 2012Nov;30(9):2011-4. doi: 10.1016/j.ajem.2012.01.027. Epub 2012 Mar 16. PubMed PMID:22424997.

23: Risko N, Calvello EJ, de Ramirez SS, Narayan M, Hirshon JM. Including emergency and acute care as a global health priority. Int J Emerg Med. 2011 Dec12;4:75. doi: 10.1186/1865-1380-4-75. PubMed PMID: 22152122; PubMed CentralPMCID: PMC3253688.

24: Maureen M, York GB, Hirshon JM, Jenkins DH, Scalea TM. Trauma readiness training for military deployment: a comparison between a U.S. trauma center and an Air Force Theater Hospital in Balad, Iraq. Mil Med. 2011 Jul;176(7):769-76. PubMed PMID: 22128718.

25: Hirshon JM, Thompson AD, Limbago B, McDonald LC, Bonkosky M, Heimer R, MeekJ, Mai V, Braden C. Clostridium difficile infection in outpatients, Maryland and Connecticut, USA, 2002-2007. Emerg Infect Dis. 2011 Oct;17(10):1946-9. doi:10.3201/eid1710.110069. PubMed PMID: 22000379; PubMed Central PMCID: PMC3310666.

26: Pimentel L, Hirshon JM, Barrueto F Jr, Browne BJ. Development of a university-based emergency department network: lessons learned. J Emerg Med. 2012Oct;43(4):728-35. doi: 10.1016/j.jemermed.2011.05.055. Epub 2011 Aug 27. PubMedPMID: 21875775.

27: Glickman SW, Kit Delgado M, Hirshon JM, Hollander JE, Iwashyna TJ, Jacobs AK, Kilaru AS, Lorch SA, Mutter RL, Myers SR, Owens PL, Phelan MP, Pines JM, Seymour CW, Ewen Wang N, Branas CC; 2010 Academic emergency medicine consensus conference Beyond regionalization: Intergrated networks of emergency care. Defining and measuring successful emergency care networks: a research agenda. Acad Emerg Med. 2010 Dec;17(12):1297-305. doi: 10.1111/j.1553-2712.2010.00930.x. PubMed PMID:21122011.

28: Malek J, Rogers R, Kufera J, Hirshon JM. Venous thromboembolic disease in the HIV-infected patient. Am J Emerg Med. 2011 Mar;29(3):278-82. doi:10.1016/j.ajem.2009.09.034. Epub 2010 Mar 26. PubMed PMID: 20825798.

29: Hall KK, Schenkel SM, Hirshon JM, Xiao Y, Noskin GA. Incidence and types of non-ideal care events in an emergency department. Qual Saf Health Care. 2010Oct;19 Suppl 3:i20-5. doi: 10.1136/qshc.2010.040246. Epub 2010 Aug 19. PubMedPMID: 20724393.

30: Day HR, El-Setouhy M, El-Shinawi M, Assem A, Ismail M, Salem M, Smith GS,Hirshon JM. Young Egyptians' perceptions, attitudes and knowledge of injuries. Inj Prev. 2010 Oct;16(5):348-51. doi: 10.1136/ip.2009.024224. Epub 2010 Jun 29.PubMed PMID: 20587813; PubMed Central PMCID: PMC3570976.

31: Hsia R, Razzak J, Tsai AC, Hirshon JM. Placing emergency care on the global agenda. Ann Emerg Med. 2010 Aug;56(2):142-9. doi:10.1016/j.annemergmed.2010.01.013. Epub 2010 Feb 6. PubMed PMID: 20138398.

32: Hirshon JM, Shardell M, Alles S, Powell JL, Squibb K, Ondov J, Blaisdell CJ. Elevated ambient air zinc increases pediatric asthma morbidity. Environ Health Perspect. 2008 Jun;116(6):826-31. doi: 10.1289/ehp.10759. PubMed PMID: 18560541; PubMed Central PMCID: PMC2430241.

33: Rothman RE, Irvin CB, Moran GJ, Sauer L, Bradshaw YS, Fry RB Jr, Josephson EB, Ledyard HK, Hirshon JM; Public Health Committee of the American College of Emergency Physicians. Respiratory hygiene in the emergency department. Ann Emerg Med. 2006 Nov;48(5):570-82. Epub 2006 Aug 23. Erratum in: Ann Emerg Med. 2007Jan;49(1):61. Josephine, Elaine B [corrected to Josephson, Elaine B]. PubMedPMID: 17052558.

34: Mai V, Braden CR, Heckendorf J, Pironis B, Hirshon JM. Monitoring of stool microbiota in subjects with diarrhea indicates distortions in composition. J Clin Microbiol. 2006 Dec;44(12):4550-2. Epub 2006 Oct 4. PubMed PMID: 17021054; PubMedCentral PMCID: PMC1698375.

35: Hirshon JM, Morris DM. Emergency medicine and the health of the public: the critical role of emergency departments in US public health. Emerg Med Clin North Am. 2006 Nov;24(4):815-9. PubMed PMID: 16982340.

36: Nataro JP, Mai V, Johnson J, Blackwelder WC, Heimer R, Tirrell S, Edberg SC, Braden CR, Glenn Morris J Jr, Hirshon JM. Diarrheagenic Escherichia coli infection in Baltimore, Maryland, and New Haven, Connecticut. Clin Infect Dis.2006 Aug 15;43(4):402-7. Epub 2006 Jul 11. PubMed PMID: 16838226.

37: Hirshon JM, Weiss SR, LoCasale R, Levine E, Blaisdell CJ. Looking beyond urban/rural differences: emergency department utilization by asthmatic children. J Asthma. 2006 May;43(4):301-6. PubMed PMID: 16809244.

38: Hirshon JM, Krugman SD, Witting MD, Furuno JP, Limcangco MR, Perisse AR, Rasch EK. Variability in institutional review board assessment of minimal-risk research. Acad Emerg Med. 2002 Dec;9(12):1417-20. PubMed PMID: 12460847.

39: McCarthy ML, Hirshon JM, Ruggles RL, Docimo AB, Welinsky M, Bessman ES. Referral of medically uninsured emergency department patients to primary care. Acad Emerg Med. 2002 Jun;9(6):639-42. PubMed PMID: 12045081.

40: Holliman CJ, Green GB, Van Rooyen MJ, Clem K, Smith JP, Ankel FK, Hirshon JM, Thomas T, Perez N, Davis M, Wolf LR. Proposed curriculum for an "observational" international emergency medicine fellowship program. Acad Emerg Med. 2000Apr;7(4):359-64. PubMed PMID: 10805624.

Dedicated to improving access to high quality acute care both domestically and globally.

Emergency Medicine

1984 College Honors

College Service Award

University of California, Santa Cruz

1986–1990 California Graduate State Fellowship