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Dr Marc Gutenstein

Clinical Senior Lecturer Marc Gutenstein

Emergency Physician
Rural Hospital Medicine Specialist

BM BCh(Oxf) MA(Cant) FACEM FDRHMNZ PGCertCPU

Email marc.gutenstein@otago.ac.nz

Dr Marc Gutenstein is a Clinical Senior Lecturer at the Rural Health Academic Centre, Ashburton Hospital. He has led the development of the ‘Rural Interprofessional Simulation Course’ to train interprofessional rural hospital teams in trauma and emergency management.

Dr Gutenstein convenes the 'GENA 723 Trauma and Emergencies in Rural Settings' paper for the University of Otago's rural postgraduate programme. He also works at Nelson Hospital as Emergency Physician.

Research Interests

  • Simulation based education for rural hospital trauma and emergency teams
  • Simulation and clinical event debriefing
  • Decision support technology for Emergency and Rural Hospital practitioners
  • Clinical co-design of digital decision support pathways

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Publications

Miller, R., Nixon, G., Pickering, J. W., Stokes, T., Turner, R. M., Young, J., Gutenstein, M., Smith, M., … Watson, A., George, P., … Than, M. (2022). A prospective multi-centre study assessing the safety and effectiveness following the implementation of an accelerated chest pain pathway using point-of-care troponin for use in New Zealand rural hospital and primary care settings. European Heart Journal: Acute Cardiovascular Care. Advance online publication. doi: 10.1093/ehjacc/zuac037

Kiuru, S., Gutenstein, M., & Withington, S. (2021). Exploratory survey of procedural sedation and analgesia practice in sample of New Zealand rural hospitals: Existing guidelines do not support current rural practice. Rural & Remote Health, 21(1), 6320. doi: 10.22605/rrh6320

Miller, R., Young, J., Nixon, G., Pickering, J. W., Stokes, T., Turner, R., … Gutenstein, M., … George, P. M., … Than, M. (2020). Study protocol for an observational study to evaluate an accelerated chest pain pathway using point-of-care troponin in New Zealand rural and primary care populations. Journal of Primary Health Care, 12(2), 129-138. doi: 10.1071/HC19059

Gutenstein, M. (2019). Daring to be wise: We are black boxes, and artificial intelligence will be the solution. Emergency Medicine Australasia, 31, 891-892. doi: 10.1111/1742-6723.13363

Gutenstein, M., & Kiuru, S. (2019). Building collaborative research networks across rural and provincial Aotearoa. New Zealand Medical Journal, 132(1493), 12-14. Retrieved from https://www.nzma.org.nz/journal

Miller, R., Nixon, G., Pickering, J. W., Stokes, T., Turner, R. M., Young, J., Gutenstein, M., Smith, M., … Watson, A., George, P., … Than, M. (2022). A prospective multi-centre study assessing the safety and effectiveness following the implementation of an accelerated chest pain pathway using point-of-care troponin for use in New Zealand rural hospital and primary care settings. European Heart Journal: Acute Cardiovascular Care. Advance online publication. doi: 10.1093/ehjacc/zuac037

Journal - Research Article

Kiuru, S., Gutenstein, M., & Withington, S. (2021). Exploratory survey of procedural sedation and analgesia practice in sample of New Zealand rural hospitals: Existing guidelines do not support current rural practice. Rural & Remote Health, 21(1), 6320. doi: 10.22605/rrh6320

Journal - Research Article

Gutenstein, M., Kiuru, S., & Withington, S. (2019). Development of a rural inter-professional simulation course: An initiative to improve trauma and emergency team management in New Zealand rural hospitals. Journal of Primary Health Care, 11(1), 16-23. doi: 10.1071/HC18071

Journal - Research Article

Gutenstein, M., Pickering, J. W., & Than, M. (2019). Development of a digital clinical pathway for emergency medicine: Lessons from usability testing and implementation failure. Health Informatics Journal, 25(4), 1563-1571. doi: 10.1177/1460458218779099

Journal - Research Article

Blattner, K., Nixon, G., Gutenstein, M., & Davey, E. (2017). A targeted rural postgraduate education programme: Linking rural doctors across New Zealand and into the Pacific. Education for Primary Care, 28(6), 346-350. doi: 10.1080/14739879.2017.1319253

Journal - Research Article

Gilchrist, N., Dalzell, K., Pearson, S., Hooper, G., Hoeben, K., Hickling, J., McKie, J., … Gutenstein, M. (2017). Enhanced hip fracture management: Use of statistical methods and dataset to evaluate a fractured neck of femur fast track pathway: Pilot study. New Zealand Medical Journal, 130(1455), 91-101. Retrieved from https://www.nzma.org.nz/journal

Journal - Research Article

The New Zealand Emergency Medicine Network, including Gutenstein, M., and the Shorter Stays in Emergency Department National Research Project Group, including Pickering, J. (2017). National audit of the quality of pain relief provided in emergency departments in Aotearoa, New Zealand: The PRiZED 1 Study. Emergency Medicine Australasia, 29(2), 165-172. doi: 10.1111/1742-6723.12714

Journal - Research Article

Fox, J., Gutenstein, M., Khan, O., South, M., & Thomson, R. (2015). OpenClinical.net: A platform for creating and sharing knowledge and promoting best practice in healthcare. Computers in Industry, 66, 63-72. doi: 10.1016/j.compind.2014.10.001

Journal - Research Article

Miller, R., Young, J., Nixon, G., Pickering, J. W., Stokes, T., Turner, R., … Gutenstein, M., … George, P. M., … Than, M. (2020). Study protocol for an observational study to evaluate an accelerated chest pain pathway using point-of-care troponin in New Zealand rural and primary care populations. Journal of Primary Health Care, 12(2), 129-138. doi: 10.1071/HC19059

Journal - Research Other

Gutenstein, M. (2019). Daring to be wise: We are black boxes, and artificial intelligence will be the solution. Emergency Medicine Australasia, 31, 891-892. doi: 10.1111/1742-6723.13363

Journal - Research Other

Gutenstein, M., & Kiuru, S. (2019). Building collaborative research networks across rural and provincial Aotearoa. New Zealand Medical Journal, 132(1493), 12-14. Retrieved from https://www.nzma.org.nz/journal

Journal - Research Other

Gutenstein, M., & Kiuru, S. (2018). The Matthew effect in New Zealand rural hospital trauma and emergency care: Why rural simulation-based education matters. New Zealand Medical Journal, 1476(131), 81-84. Retrieved from https://www.nzma.org.nz/journal

Journal - Research Other

The New Zealand Emergency Medicine Network, including Gutenstein, M. (2015). New Zealand emergency medicine network: A collaboration for acute care research in New Zealand. Emergency Medicine Australasia, 27(2), 169-172. doi: 10.1111/1742-6723.12371

Journal - Research Other

Gutenstein, M. (2014). Psychological factors in emergency medicine. Emergency Medicine Australasia, 26(3), 295-299. doi: 10.1111/1742-6723.12210

Journal - Research Other

Gutenstein, M. (2007). Osmotic myelinolysis syndrome after treatment of severe deamino arginine vasopressin-associated hyponatraemia: Pitfalls in emergency medicine [Case report]. Emergency Medicine Australasia, 19(1), 68-70. doi: 10.1111/j.1742-6723.2007.00931.x

Journal - Research Other

Gutenstein, M. (2003). Stridor and Down's syndrome [Case report]. Emergency Medicine Journal, 20(3), 301.

Journal - Research Other

Than, M., Jones, P., Dalziel, S., Larkin, L., Munro, A., Ellis, C., the NZEM Network, including Ardagh, M., & Gutenstein, M. (2014). New Zealand Emergency Medicine Network (NZEMN): Collaboration for acute care research in New Zealand. New Zealand Medical Journal, 127(1407). Retrieved from http://www.nzma.org.nz/journal

Journal - Professional & Other Non-Research Articles

Gutenstein, M. (2003). A mixture of medication. BMJ, 327(7414), 549. doi: 10.1136/bmj.327.7414.549

Journal - Professional & Other Non-Research Articles

Gilchrist, N., Dalzell, K., Pearson, S., Hooper, G., Hoeben, K., Hickling, J., McKie, J., … Gutenstein, M. (2018). Fast track hip fracture management: Model for sarcopenia treatment? Proceedings of the Australian & New Zealand Society for Sarcopenia & Frality Research (ANZSSFR) Annual Meeting. (pp. 38). Retrieved from https://anzssfr.org/past-meetings

Conference Contribution - Published proceedings: Abstract

Kiuru, S., Withington, S., Reid, T., & Gutenstein, M. (2018). New Rural Interprofessional Simulation Course (RiSC). Proceedings of the New Zealand Rural General Practice Network (NZRGPN) National Rural Health Conference. Retrieved from http://www.nationalruralhealthconference.org.nz/nrhc18

Conference Contribution - Published proceedings: Abstract

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