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-Basic certifications, 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 regarding EMS issues, and collaborating and communicating with prehospital personnel and community groups.


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



Please click the links for selected publications:

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!