Medical Director

Kristi L. Koenig, MD, FACEP, FIFEM, FAEMS

Kristi L. Koenig, MD, FACEP, FIFEM, FAEMS, Medical Director

The role of the EMS Medical Director is to assure compliance with all State Statutes and Regulations regarding EMS for the County of San Diego's EMS System and all its components.

This includes providing medical direction and management of the EMS system, approving standards, policies, protocols, and procedures. The Medical Director oversees the County's Public Access Defibrillation Program, issues EMT certifications, accredits paramedics to practice in the LEMSA, and authorizes Mobile Intensive Care Nurses.

The Medical Director also integrates with other components of the system by consulting and communicating with the County's Trauma Medical Directors, participating in countywide disaster medical services planning activities, serving in an advisory role to the Public Health Officer and other County leaders regarding EMS issues, and collaborating and communicating with prehospital personnel and community groups.


Evidence-Based Medicine (EBM) Presentations at Base Station Physicians Committee (BSPC)

The CoSD EMS Medical Director initiated a series of EBM presentations at the monthly BSPC meetings.  Please click the links to access the various topics.

April 2022, A Review of Prehospital Fluid Resuscitation and an Introduction to USMC’s Valkyrie Course, Saki Kitadai, MD (Video recording here)

March 2022, Ambulance Diversion - Christopher Kahn, MD, MPH, FAEMS (Video recording here)

February 2022, EMS Decision Making Capacity, Jonathan Bar, MD (Video recording here)

January 2022, COVID-19 and the Medical Examiner, Steve Campman, MD, Chief Medical Examiner San Diego County (Video recording here)

July 2021, Strangulation: What Paramedics Need to Know - Gael Strack, J.D., and R. William Worden, D.O., M. Ed.

June 2021, Toward the Way Forward in Managing Risk and Resilience in EMS Clinicians - Merritt "Chip" Schreiber, PhD, Professor of Clinical Pediatrics Harbor-UCLA Medical Center

June 2021, Prehospital Management of Hypotensive Trauma Patients - Walter L. Biffl, MD, Trauma Medical Director (Video recording here)

May 2021, Child Abuse and Neglect Issues - Shalon M. Nienow, MD, FAAP, Medical Director Child Abuse Pediatrics

April 2021, AMA Calls & Decision Capacity - Heidi Hutchinson, MD, UCSD EMS & Disaster Medicine Fellow

January 2020, Prehospital Management of Status Epilepticus - Elan L. Guterman, MD

November 2019, Sepsis in the Prehospital Setting - Gabriel Wardi, MD, MPH, Medical Director

October 2019, Kawasaki Disease in the Prehospital & ED Setting - Adriana Tremoulet, MD, MAS, Associate Director

June 2019, Management of Burn Injuries - Jeanne Lee, MD, FACS, Director

May 2019, San Diego Human Trafficking - Mary Ellen Barrett, DDA & Michelle Shores, RN

Apr 2019, Handing-off a Patient to the Medical Examiner's Office: Details are Important - Steven C. Campman, MD, Chief Deputy Medical Examiner

Mar 2019, Vaccine-Preventable Diseases in San Diego County - Eric McDonald, MD, MPH, FACEP

Feb 2019, Pre-Hospital Care of the Agitated Patient - Lt Amanda Wojahn, MD

Jan 2019, 2018 National EMS Scope of Practice Model - Jenny Farah, MD

Oct 2018, Hanging, Strangulation and Other Forms of Asphyxiation - Steven Campman, MD

Sep 2018, Pediatric Stroke - Tabitha Cheng, MD

Jul 2018, Hand Hygiene and Glove Use - Kim Delahanty, RN, BSN, PHN, MBA/CM, CIC FAPIC

May 2018, Stroke Systems of Care Update 2018 - Thomas Hemmen, MD

Apr 2018, Newly Hatching Concepts From the Eagles - Christopher Kahn, MD

Nov 2017, A Review of Prehospital Pain Management - Jennifer Farah, MD

Oct 2017, City of San Diego 2017 Medical Director Update - James Dunford, MD

Sep 2017, EMD Aspirin Overview - Christopher Kahn, MD

Jul 2017, Left Ventricular Assist Devices in the Community, Suzanne Chillcott BSN, RN

May 2017, Sideline C-Spine Injury - Marcia Faustin, MD

Apr 2017, Active Assailant Response - Kathy Staats, MD




Please click the links for selected publications:

Koenig KL, Beÿ CK, McDonald EC. 2019-nCoV: The Identify-Isolate-Inform (3I) Tool Applied to a Novel Emerging Coronavirus [published online January 31, 2020]. West J Emerg Med. 2020

The EMS Medical Directors Association of California (EMDAC) Medical Advisory Committee is developing a series of standardized evidence-based protocol guidance papers.

Learn about the 3I Tool (Identify-Isolate-Inform) for Hepatitis A.

Understand the national prehospital opioid shortage.

Be on the lookout for measles!