Clinical Senior Lecturer 
Emergency Physician
Rural Hospital Medicine Specialist
BM BCh(Oxf) MA(Cant) FACEM FDRHMNZ PGCertCPU
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
Publications
Gutenstein, M., Holland, K., Civil, I., & Than, M. (2022, November). Mahi Tahi in action: Networks. Panel discussion at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.
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
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
Gutenstein, M., Holland, K., Civil, I., & Than, M. (2022, November). Mahi Tahi in action: Networks. Panel discussion at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.
Conference Contribution - Verbal presentation and other Conference outputs
