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Biography
Dr. Govindarajan is a health services researcher with expertise in emergency medical services and healthcare systems. The goals of her research are to improve access to specialized centers for acute stroke care (thrombolysis-capable and thrombectomy-capable centers) through early detection of stroke in the prehospital setting. Following her widely-cited (initial work on stroke detection by emergency medical services, she received a career development award (K08 HS17965) from the Agency of Healthcare Research and Quality to study the impact of a stroke destination protocol for emergency service provides that increased access to primary stroke centers in two California counties. The findings from this work has led to a national study on the effectiveness of a stroke destination protocol for emergency medical service providers and is funded by the Agency of Health Care Research and Quality (R01 HS026207). Her collaborators are scientists at the Center for Disease Control and Prevention (Heart Disease and Stroke Prevention) and Stanford-Surgery Policy Improvement Research and Education.
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Professional Summary
Education & Certifications
- Internship: Boston University School of Medicine (2002) MA
- Fellowship: University Of San Diego (2007) CA
- Fellowship, University of California San Diego, Emergency Medical Services (2007)
- Board Certification: American Board of Emergency Medicine, Emergency Medicine (2006)
- MAS, University of California-San Diego, Clinical Research (2007)
- Residency: Boston Medical Center (2005) MA
- Residency, Boston Medical Center, Emergency Medicine (2005)
- Internship, Boston University Medical Center, Medicine (2002)
- Medical Education: Madras Medical College and Government General Hospital (1997) India
- MBBS, Madras Medical College, Medicine (1997)
Honors & Awards
- Certificate of Honor in Pathology, Madras Medical College (1994)
- David Frommer Award for Academic Excellence, Boston Medical Center (2005)
- Dean’s Prize for Clinical and Translational research (Student: Benjamin Friedman), University of California, San Francisco (2012)
- Essential Core Teaching Award for “Inspirational Teaching.” (“Danovic Case”), University of California, San Francisco (2008)
- Named "Top 50 Peer reviewer for 2018", Annals of Emergency Medicine, the premier journal in emergency medicine (2019)
- R01026207-01A1, Agency of Healthcare Research and Quality (AHRQ) Department of Health and Human Services (07/2019)
- Save of the Month, Emergency Med, Stanford University Medical Center (2017)
Memberships
- Member, Society of Academic Emergency Medicine (2001 - Present)
- Member, American Heart Association/American Stroke Association (2007 - Present)
- Neurological Emergencies IG, SAEM (2014 - Present)
- Member, Grants Committee, Society of Academic Emergency Medicine (2015 - 2016)
Administrative Appointments
- Associate Vice-Chair, Department of Emergency Medicine, Stanford University School of Medicine (2019 - Present)
Publications
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Comparative Evaluation of Stroke Triage Algorithms for Emergency Medical Dispatchers (MeDS): Prospective Cohort Study Protocol
Govindarajan, P., Ghilarducci, D., McCulloch, C., Pierog, J., Bloom, E., & Johnston, C. (2011). Comparative Evaluation of Stroke Triage Algorithms for Emergency Medical Dispatchers (MeDS): Prospective Cohort Study Protocol. BMC NEUROLOGY, 11. -
Feasibility study to assess the use of the Cincinnati stroke scale by emergency medical dispatchers: a pilot study
Govindarajan, P., Desouza, N. T., Pierog, J., Ghilarducci, D., & Johnston, S. C. (2012). Feasibility study to assess the use of the Cincinnati stroke scale by emergency medical dispatchers: a pilot study. EMERGENCY MEDICINE JOURNAL, 29(10), 848–850. -
Race and sex disparities in prehospital recognition of acute stroke.
Govindarajan, P., Friedman, B. T., Delgadillo, J. Q., Ghilarducci, D., Cook, L. J., Grimes, B., … Johnston, S. C. (2015). Race and sex disparities in prehospital recognition of acute stroke. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, 22(3), 264–72. -
Prehospital aspirin administration for acute coronary syndrome (ACS) in the USA: an EMS quality assessment using the NEMSIS 2011 database.
Tataris, K. L., Mercer, M. P., & Govindarajan, P. (2015). Prehospital aspirin administration for acute coronary syndrome (ACS) in the USA: an EMS quality assessment using the NEMSIS 2011 database. Emergency Medicine Journal : EMJ. -
Patients' perspectives of enrollment in research without consent: the patients' experiences in emergency research-progesterone for the treatment of traumatic brain injury study*.
Dickert, N. W., Scicluna, V. M., Baren, J. M., Biros, M. H., Fleischman, R. J., Govindarajan, P. R., … Pentz, R. D. (2015). Patients' perspectives of enrollment in research without consent: the patients' experiences in emergency research-progesterone for the treatment of traumatic brain injury study*. Critical Care Medicine, 43(3), 603–12. -
National trends in the utilization of emergency medical services for acute myocardial infarction and stroke.
Tataris, K., Kivlehan, S., & Govindarajan, P. (2014). National trends in the utilization of emergency medical services for acute myocardial infarction and stroke. The Western Journal of Emergency Medicine, 15(7), 744–748. -
Emergency department visits and hospitalizations by tube-fed nursing home residents with varying degrees of cognitive impairment: a national study
Stephens, C. E., Sackett, N., Govindarajan, P., & Lee, S. J. (2014). Emergency department visits and hospitalizations by tube-fed nursing home residents with varying degrees of cognitive impairment: a national study. BMC GERIATRICS, 14. -
COMMUNITY CONSULTATION FOR PREHOSPITAL RESEARCH: EXPERIENCES OF STUDY COORDINATORS AND PRINCIPAL INVESTIGATORS
Dickert, N. W., Govindarajan, P., Harney, D., Silbergleit, R., Sugarman, J., Weinfurt, K. P., & Pentz, R. D. (2014). COMMUNITY CONSULTATION FOR PREHOSPITAL RESEARCH: EXPERIENCES OF STUDY COORDINATORS AND PRINCIPAL INVESTIGATORS. PREHOSPITAL EMERGENCY CARE, 18(2), 274–281. -
Marked reduction in length of stay for patients with psychiatric emergencies after implementation of a comanagement model.
Polevoi, S. K., Jewel Shim, J., McCulloch, C. E., Grimes, B., & Govindarajan, P. (2013). Marked reduction in length of stay for patients with psychiatric emergencies after implementation of a comanagement model. Academic Emergency Medicine , 20(4), 338–343. -
Enrollment in research under exception from informed consent: The Patients' Experiences in Emergency Research (PEER) study
Dickert, N. W., Mah, V. A., Baren, J. M., Biros, M. H., Govindarajan, P., Pancioli, A., … Pentz, R. D. (2013). Enrollment in research under exception from informed consent: The Patients' Experiences in Emergency Research (PEER) study. RESUSCITATION, 84(10), 1416–1421. -
Emergency Research: Using Exception from Informed Consent, Evaluation of Community Consultations
Govindarajan, P., Dickert, N. W., Meeker, M., de Souza, N., Harney, D., Hemphill, C. J., & Pentz, R. (2013). Emergency Research: Using Exception from Informed Consent, Evaluation of Community Consultations. ACADEMIC EMERGENCY MEDICINE, 20(1), 98–103. -
Nationwide Patterns of Hospitalization after Transient Ischemic Attack
Kamel, H., Fahimi, J., Govindarajan, P., & Navi, B. B. (2013). Nationwide Patterns of Hospitalization after Transient Ischemic Attack. JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 22(7), E142–E145. -
Emergency Physicians Research Common Problems in Proportion to their Frequency.
Wilson, M. P., Vilke, G. M., Govindarajan, P., & Itagaki, M. W. (2012). Emergency Physicians Research Common Problems in Proportion to their Frequency. The Western Journal of Emergency Medicine, 13(4), 344–350. -
Regional Differences in Emergency Medical Services Use for Patients with Acute Stroke (Findings from the National Hospital Ambulatory Medical Care Survey Emergency Department Data File)
Govindarajan, P., Gonzales, R., Maselli, J. H., Johnston, S. C., Fahimi, J., Poisson, S., & Stein, J. C. (2013). Regional Differences in Emergency Medical Services Use for Patients with Acute Stroke (Findings from the National Hospital Ambulatory Medical Care Survey Emergency Department Data File). JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 22(8), E257–E263. -
Practice variability among the EMS systems participating in Cardiac Arrest Registry to Enhance Survival (CARES)
Govindarajan, P., Lin, L., Landman, A., McMullan, J. T., McNally, B. F., Crouch, A. J., & Sasson, C. (2012). Practice variability among the EMS systems participating in Cardiac Arrest Registry to Enhance Survival (CARES). RESUSCITATION, 83(1), 76–80. -
Patient-centered Integrated Networks of Emergency Care: Consensus-based Recommendations and Future Research Priorities
Govindarajan, P., Larkin, G. L., Rhodes, K. V., Piazza, G., Byczkowski, T. L., Edwards, M., & Baren, J. M. (2010). Patient-centered Integrated Networks of Emergency Care: Consensus-based Recommendations and Future Research Priorities. ACADEMIC EMERGENCY MEDICINE, 17(12), 1322–1329. -
A low-cost, tablet-based option for prehospital neurologic assessment: The iTREAT Study.
Chapman Smith, S. N., Govindarajan, P., Padrick, M. M., Lippman, J. M., McMurry, T. L., Resler, B. L., … Southerland, A. M. (2016). A low-cost, tablet-based option for prehospital neurologic assessment: The iTREAT Study. Neurology, 87(1), 19–26. -
PARAMEDIC PERSPECTIVES ON BARRIERS TO PREHOSPITAL ACUTE STROKE RECOGNITION
Hodell, E., Hughes, S. D., Corry, M., Kivlehan, S., Resler, B., Sheon, N., & Govindarajan, P. (2016). PARAMEDIC PERSPECTIVES ON BARRIERS TO PREHOSPITAL ACUTE STROKE RECOGNITION. PREHOSPITAL EMERGENCY CARE, 20(3), 415–424. -
Prehospital Systolic Hypertension and Outcomes in Patients with Spontaneous Intracerebral Hemorrhage.
Hatcher, S., Chen, C., & Govindarajan, P. (2017). Prehospital Systolic Hypertension and Outcomes in Patients with Spontaneous Intracerebral Hemorrhage. Cureus, 9(1). -
Impact of individual clinical outcomes on trial participants' perspectives on enrollment in emergency research without consent
Whitesides, L. W., Baren, J. M., Biros, M. H., Fleischman, R. J., Govindarajan, P. R., Jones, E. B., … Dickert, N. W. (2017). Impact of individual clinical outcomes on trial participants' perspectives on enrollment in emergency research without consent. CLINICAL TRIALS, 14(2), 180–86. -
A Web-based Decision Tool to Estimate Subarachnoid Hemorrhage Risk in Emergency Department Patients
Manella, H., Sivasankar, S., Perry, J., Pfeil, S., Senyak, J., Shachter, R., & Govindarajan, P. (2018). A Web-based Decision Tool to Estimate Subarachnoid Hemorrhage Risk in Emergency Department Patients. Cureus, 10(1). -
Practice Variation in the Diagnosis of Aneurysmal Subarachnoid Hemorrhage: A Survey of US and Canadian Emergency Medicine Physicians.
Kumar, A., Niknam, K., Lumba-Brown, A., Woodruff, M., Bledsoe, J. R., Kohn, M. A., … Govindarajan, P. (2019). Practice Variation in the Diagnosis of Aneurysmal Subarachnoid Hemorrhage: A Survey of US and Canadian Emergency Medicine Physicians. Neurocritical Care. -
A Web-based Decision Tool to Estimate Subarachnoid Hemorrhage Risk in Emergency Department Patients.
Manella, H., Sivasankar, S., Perry, J. J., Pfeil, S., Senyak, J., Shachter, R., & Govindarajan, P. (2018). A Web-based Decision Tool to Estimate Subarachnoid Hemorrhage Risk in Emergency Department Patients. Cureus, 10(1), e2096. -
Paramedic Detection of Large Vessel Occlusions Using mNIHSS: A Prospective Cohort Pilot Study.
Mulkerin, W., Francisco, J., Lima, B., Spokoyny, I., Gilbert, G., Brown, I., … Govindarajan, P. (2019). Paramedic Detection of Large Vessel Occlusions Using mNIHSS: A Prospective Cohort Pilot Study. STROKE. LIPPINCOTT WILLIAMS & WILKINS. -
Feasibility of a 'Psychologically Smart' Community Pharmacy Intervention to Improve Patient Recognition and Response Time in Stroke.
Malcolm, E., Spokoyny, I., Safaeinili, N., Tai, A., Govindarajan, P., Donelson, S., … Cohen, G. (2019). Feasibility of a 'Psychologically Smart' Community Pharmacy Intervention to Improve Patient Recognition and Response Time in Stroke. STROKE, 50. -
Practice Variation in the Management of Aneurysmal Subarachnoid Hemorrhage-A Survey of US and Canadian Emergency Medicine Physicians
Kumar, A., NIknam, K., Lumba-Brown, A., Bledsoe, J., Woodruff, M., Kohn, M., … Govindarajan, P. (2019). Practice Variation in the Management of Aneurysmal Subarachnoid Hemorrhage-A Survey of US and Canadian Emergency Medicine Physicians. STROKE, 50. -
Practice Variation in the Diagnosis of Aneurysmal Subarachnoid Hemorrhage: A Survey of US and Canadian Emergency Medicine Physicians
Kumar, A., Niknam, K., Lumba-Brown, A., Woodruff, M., Bledsoe, J. R., Kohn, M. A., … Goyindarajan, P. (2019). Practice Variation in the Diagnosis of Aneurysmal Subarachnoid Hemorrhage: A Survey of US and Canadian Emergency Medicine Physicians. NEUROCRITICAL CARE, 31(2), 321–28. -
Effect of Acute Stroke Care Regionalization on Intravenous Alteplase Use in Two Urban Counties.
Govindarajan, P., Shiboski, S., Grimes, B., Cook, L., Ghilarducci, D., Meng, T., & Trickey, A. W. (2019). Effect of Acute Stroke Care Regionalization on Intravenous Alteplase Use in Two Urban Counties. Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 1–14. -
Characteristics of Emergency Department Patients With COVID-19 at a Single Site in Northern California: Clinical Observations and Public Health Implications.
Duanmu, Y., Brown, I. P., Gibb, W. R., Singh, J., Matheson, L. W., Blomkalns, A. L., & Govindarajan, P. (2020). Characteristics of Emergency Department Patients With COVID-19 at a Single Site in Northern California: Clinical Observations and Public Health Implications. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine. -
Assessment of Sensitivity and Specificity of Patient-Collected Lower Nasal Specimens for Sudden Acute Respiratory Syndrome Coronavirus 2 Testing.
Altamirano, J., Govindarajan, P., Blomkalns, A. L., Kushner, L. E., Stevens, B. A., Pinsky, B. A., & Maldonado, Y. (2020). Assessment of Sensitivity and Specificity of Patient-Collected Lower Nasal Specimens for Sudden Acute Respiratory Syndrome Coronavirus 2 Testing. JAMA Network Open, 3(6), e2012005. -
Are EMS bypass policies effective implementation strategies for intravenous alteplase for stroke?
Harris, A. H., Barreto, N. B., Trickey, A. W., Bereknyei, S., Meng, T., Wagner, T. H., & Govindarajan, P. (2020). Are EMS bypass policies effective implementation strategies for intravenous alteplase for stroke? Implementation Science Communications, 1, 50. -
Trends in Intravenous Alteplase Use and Mortality Among Medicare Beneficiaries With Acute Stroke: A Eight-Year Retrospective Analysis
Meng, T., Trickey, A., & Govindarajan, P. (2020). Trends in Intravenous Alteplase Use and Mortality Among Medicare Beneficiaries With Acute Stroke: A Eight-Year Retrospective Analysis. STROKE, 51. -
Eight-year Trends in Ambulance Use in a National Sample of Medicare Beneficiaries With Stroke
Meng, T., Trickey, A. W., & Govindarajan, P. (2020). Eight-year Trends in Ambulance Use in a National Sample of Medicare Beneficiaries With Stroke. STROKE, 51. -
Evaluating the utility of Rapid Response EEG in emergency care.
Wright, N. M., Madill, E. S., Isenberg, D., Gururangan, K., McClellen, H., Snell, S., … Govindarajan, P. (2021). Evaluating the utility of Rapid Response EEG in emergency care. Emergency Medicine Journal : EMJ. -
Prehospital Identification of Large Vessel Occlusions Using Modified National Institutes of Health Stroke Scale: A Pilot Study.
Mulkerin, W. D., Spokoyny, I., Francisco, J. T., Lima, B., Corry, M. D., Nudelman, M. J., … Govindarajan, P. (2021). Prehospital Identification of Large Vessel Occlusions Using Modified National Institutes of Health Stroke Scale: A Pilot Study. Frontiers in Neurology, 12, 643356. -
Multi-Center Study of Outcomes Among Persons with HIV who Presented to US Emergency Departments with suspected SARS-CoV-2.
Bennett, C. L., Ogele, E., Pettit, N. R., Bischof, J. J., Meng, T., Govindarajan, P., … Kline, J. A. (2021). Multi-Center Study of Outcomes Among Persons with HIV who Presented to US Emergency Departments with suspected SARS-CoV-2. Journal of Acquired Immune Deficiency Syndromes (1999). -
Feasibility of Specimen Self-collection in Young Children Undergoing SARS-CoV-2 Surveillance for In-Person Learning.
Altamirano, J., Lopez, M., Robinson, I. G., Chun, L. X., Tam, G. K.-Y., Shaikh, N. J., … Maldonado, Y. (2022). Feasibility of Specimen Self-collection in Young Children Undergoing SARS-CoV-2 Surveillance for In-Person Learning. JAMA Network Open, 5(2), e2148988. -
Lessons Learned From the Historical Trends on Thrombolysis Use for Acute Ischemic Stroke Among Medicare Beneficiaries in the United States.
Meng, T., Trickey, A. W., Harris, A. H., Matheson, L., Rosenthal, S., Traboulsi, A. A.-R., … Govindarajan, P. (2022). Lessons Learned From the Historical Trends on Thrombolysis Use for Acute Ischemic Stroke Among Medicare Beneficiaries in the United States. Frontiers in Neurology, 13, 827965. -
One-Year Costs Associated With the Veterans Affairs National TeleStroke Program.
Wagner, T. H., Schoemaker, L., Gehlert, E., Nelson, R. E., Murphy, K., Martini, S., … Williams, L. S. (2022). One-Year Costs Associated With the Veterans Affairs National TeleStroke Program. Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research. -
External validation of the 4C Mortality Score for hospitalised patients with COVID-19 in the RECOVER network.
Gordon, A. J., Govindarajan, P., Bennett, C. L., Matheson, L., Kohn, M. A., Camargo, C., & Kline, J. (2022). External validation of the 4C Mortality Score for hospitalised patients with COVID-19 in the RECOVER network. BMJ Open, 12(4), e054700.
Practice Locations
Marc and Laura Andreessen Adult Emergency Department Stanford, CA
Stanford, CA
Marc and Laura Andreessen Adult Emergency Department
1199 Welch Road
Stanford , CA 94304
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Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Medicine Partners are each independent nonprofit organizations that are affiliated with but separate from each other and from Stanford University. The physicians who provide care at facilities operated by Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Medicine Partners are faculty, foundation, or community physicians who are not employees, representatives, or agents of Stanford Health Care, Stanford Health Care Tri- Valley, or Stanford Medicine Partners. Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Medicine Partners do not exercise control over the care provided by such faculty, foundation, and community physicians and are not responsible for their actions.