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210-567-4500

tobinj@uthscsa.edu

Departments & Divisions

Joshua M Tobin, MD, MSc

Professor

Director of Trauma Anesthesiology

Dr. Tobin is the Director of Trauma Anesthesiology at the University of Texas Health Science Center at San Antonio.  He received his biology degree from Dartmouth College and worked as a paramedic while earning his Medical Degree at Boston University. Dr. Tobin completed Anesthesiology Residency at the University of Washington, Critical Care Fellowship at Stanford and a sabbatical in Prehospital Medicine at Sydney Helicopter Emergency Medical Services (Sydney HEMS). He earned his Master’s Degree in Biomedical Engineering at the University of Southern California. Dr. Tobin is the founding president of the Trauma Anesthesiology Society, and his research interests include trauma resuscitation as well as critical care transportation. He holds two U.S. patents and is the author of numerous peer reviewed scientific articles, textbook chapters and other manuscripts.

Dr. Tobin is also a Captain in the U.S. Navy Reserve. He has deployed as an intensivist on Critical Care Air Transport (CCAT) and Special Operations Critical Care Evacuation Teams (SOCCET), as the Critical Care Anesthesiology department head of the NATO Role 3 Trauma Hospital in Kandahar, Afghanistan and as the Command Surgeon of the NATO Special Operations Component Command - Afghanistan. CAPT Tobin’s awards include the Defense Meritorious Service Medal, Air Medal and Romanian Medal of Honor of the General Staff

  • Professional Background

    Education

    • 2019 - MSc - Biomedical Engineering - University of Southern California – Viterbi School of Engineering
    • 2000 - MD - Boston University
    • 1992 - BS - Biology - Dartmouth College

    Appointments

    • 2008-2011 - Clinical Inistructor Affiliated - Stanford University School of Medicine
    • 2011-2012 - Assistant Professor - U Maryland School of Medicine – Shock Trauma Center
    • 2012-2014 - Assistant Professor - Geffen School of Medicine at UCLA
    • 2014-2016 - Assistant Professor - Keck School of Medicine at USC
    • 2016-2019 - Associate Professor - Keck School of Medicine at USC
    • 2019-2020 - Associate Professor Adjunct - Stanford University School of Medicine
    • 2020-2022 - Associate Professor - Stanford University School of Medicine
    • 2022-present - Professor - UTHSC San Antonio

  • Instruction & Training

    • 2001, Internship - Surgery, University of Miami
    • 2002, Residency - Neurosurgery, Virginia Commonwealth University
    • 2003-2005, Residency - Anesthesiology, Univseristy of Washington
    • 2006, Fellowship – Critical Care Medicine, Stanford University School of Medicine

  • Service

    Department

    Major Administrative Responsibilities or Committee Assignments

    •   2006-2011, Director, Trauma Anesthesiology, Santa Clara Valley Medical Center, San Jose, CA     

    • 2013-2014, Department Head, Critical Care Anesthesiology, Role 3 Trauma Hospital, Kandahar, Afghanistan

    • 2014-2019, Chief, Division of Trauma Anesthesiology, Keck School of Medicine of the University of Southern California, Los Angeles, CA

    • 2015-present, Voting Member, Resuscitation Sub-council, American Red Cross, Scientific Advisory Council

    • 2017-present, Voting Member, Department of Defense, Committee on En Route Combat Casualty Care

    • 2020-2021, Command Surgeon (By Name Request; Secretary of Defense), NATO Special Operations Component, Command-Afghanistan/Special Operations, Joint Task Force-Afghanistan, Northern Afghanistan

    • 2020-2021, Panelist, Naval Health Research Center, Joint, Medical Planning Tool, Trauma Mortality Modeling Update

    • 2020-present, Member American Society of Testing and Materials (ASTM) WK56860, Tourniquets Task Force

    • 2006-2011, Member Critical Care Committee Santa Clara Valley Medical Center

    National

    • 2003-2010  Major, United States Air Force Reserve; Deployment 2007  Team Leader, Special Operations Critical Care Evacuation Team (SOCCET), Jolo, Philippine  Deployment 2010 Team Leader, Critical Care Air Transport Team (CCAT), Kandahar, Afghanistan, 35 Combat Sorties                                                                                                     

    • 2010-present  Captain, United States Navy Reserve; Deployment 2013-14  Department Head, Critical Care Anesthesiology,  Role 3 Trauma Hospital, Kandahar, Afghanistan Deployment 2020-21  Command Surgeon (By Name Request), NATO  Special Operations Component Command-Afghanistan/Special Operations Joint Task Force-Afghanistan (NSOCC-A/SOJTF-A), Afghanistan

  • Publications

      Peer Reviewed​

      1.         Tobin JM, Mihm FG. Hemodynamic Profile for Consciousness During Cardiopulmonary Resuscitation. Anesth Analg 2009; 109(5): 1598-99.  PMID: 19843796

      2.         Tobin JM.  Trauma Anesthesia Plan for Non-Permissive Environments.  J Spec Oper Med 2009; 9(4): 32-35.  PMID: 20112646

      3.         Tobin JM, Via DK, Carter T.  Tactical Evacuation: Extending Critical Care on Rotary Wing Platforms to Forward Surgical Facilities. Mil Med 2011; 176(1): 4-6.  PMID: 21305952

      4.         Tobin JM.  Usage and Efficacy of Airway Adjuncts in an Emergency Intubation Kit. Emerg Med Australas 2011; 23(4): 514-515.  PMID: 21824322

      5.         Tobin JM, Varon AJ. Update in Trauma Anesthesiology: Perioperative Resuscitation Management. Anesth Analg 2012; 115(6): 1326-33. PMID: 22763906

      6.         Tobin JM, Varon AJ.  Emergency Management of the Trauma Airway.  J Clin Anesth 2013; 25(7): 605-7. PMID: 23994703

      7.         Tobin JM, Grabinsky A, McCunn M, Pittet JF, Smith CE, Murray MJ, Varon  AJ.  A Checklist for Trauma and Emergency Anesthesia.  Anesth Analg 2013; 117(5): 1178-84. PMID: 24108256

      8.         Tobin JM, Dutton RP, Pittet JF, Sharma D.  Hypotensive Resuscitation in a Head Injured Multi-trauma Patient.  J Crit Care 2014; 29(2): 313.e1-5 PMID: 24388660

      9.         Tobin JM. Developing a Trauma Curriculum for Anesthesiology Residents and Fellows.  Curr Opin Anesthesiol 2014; 27(2): 240-5. PMID: 24535188

      10.       Tobin JM, Tanaka KA, Smith CE.  Factor Concentrates in Trauma. Curr Opin, Anesthesiol 2015; 28(2): 217-26. PMID: 25674987

      11.       Tobin JM, Nordmann GR, Kuncir EJ.  Resuscitation During Critical Care Transportation in Afghanistan.  J Spec Oper Med 2015; 15(3): 72-75.  PMID: 26360357

      12.       Behrens V, Dudaryk R, Nedeff N, Tobin JM, Varon AJ. The Ryder Cognitive Aid Checklist for Trauma Anesthesia.  Anesth Analg 2016; 122(5): 1484-7.  PMID: 27101496

      13.       Tobin JM, Ramos WD, Pu Y, Wernicki PG, Quan L, Rossano JW.  Bystander CPR is Associated with Improved Neurologically Favourable Survival in Cardiac Arrest Following Drowning.  Resuscitation 2017;115: 39-   43. PMID: 28385639

      14.       Leichtle SW, Singleton A, Singh M, Griffee MJ, Tobin JM. Transesophageal Echocardiography in the Evaluation of the Trauma Patient: a Trauma Resuscitation Transesophageal Echocardiography Exam.  J Crit Care 2017; 40:202-206.  PMID: 28433951 

      15.       Tobin JM, Lockey DJ.  Prehospital Resuscitation.  Int Anesthesiol Clin 2017 Summer; 55(3):36-49.  PMID: 28598879

      16.       Tobin JM.  Anesthesiologist as Resuscitation Consultant.  Int Anesthesiol Clin 2017 Summer; 55(3):1-3.  PMID: 28598876

      17.       Strumwasser A, Tobin JM, Henry R, Guidry C, Park C, Inaba K, Demetriades D. Extracorporeal Membrane Oxygenation in Trauma: A Single Institution Experience and Review of the Literature. Int J Artif Organs 2018.  41(12):845-853.  PMID: 30117348

      18.       Walrath BD, Harper S, Barnard E, Tobin JM, Drew B, Cunningham C, Kharod C, Spradling J, Stone C, Martin M. Airway Management for Trauma Patients. Mil Med 2018; 183 (suppl_2):29-31. PMID: 30189067

      19.       Tobin JM, Barras WP, Bree S, Williams N, McFarland C, Park C, Steinhiser D, Stone RC, Stockinger Z. Anesthesia for Trauma Patients. Mil Med 2018; 183 (suppl_2):32-35.  PMID: 30189066

      20.       Griffis H, Wu L, Naim MY, Bradley R, Tobin J, McNally B, Vellano K, Quan L, Markenson D, Rossano JW, CARES Surveillance Group.  Characteristics and Outcomes of AED use in Pediatric Cardiac Arrest in Public Settings: The Influence of Neighborhood Characteristics. Resuscitation 2020; 146:126-131.  PMID: 31785372.

      21.       Tobin JM, Ramos WD, Greenshields J, Dickinson S, Rossano JW, Wernicki PG, Markenson D, Vellano K, McNally B.  Outcome of Conventional Bystander Cardiopulmonary Resuscitation in Cardiac Arrest Following Drowning. Prehosp Disaster Med 2020 Apr; 35(2):141-147.  PMID: 31973778

      22.       Bardes JM, Biswas S, Strumwasser AM, Schellenberg M, Inaba K, Demetriades D, Tobin JM.  Comparison of Trauma Resuscitation Practices by Critical Care Anesthesiologists and Non-Critical Care Anesthesiologists.  J Clin Anesth 2020; 65: 109890.  PMID: 32460105   

      23.       Tobin JM, Gavitt BJ, Nomellini V, Dobson GP, Letson HL, Shackelford SA. Immuno-therapeutic Options for Inflammation in Trauma.  J Trauma Acute Care Surg 2020 Aug; 89(2S Suppl 2):S77-82.  PMID: 32740297

      24.       Dye C, Keenan S, Carius BM, Loos PE, Remley MA, Mendes B, Arnold JL, May I, Powell D, Tobin JM, Riesberg JC, Shackelford SA. Airway Management in Prolonged Field Care.  J Spec Oper Med. 2020 Fall;20(3):141-156. PMID: 32969020

      25.       Ryan KM, Bui MD, Dugas JN, Zvonar I, Tobin JM.  Impact of Prehospital Airway Interventions on Outcome in Cardiac Arrest Following Drowning: a study from the CARES Surveillance Group.  Resuscitation 2021 Jan 19:S0300-9572(21).  PMID: 33482267

      26.       Tobin JM.  Toward an Electrical Analog of the Cardiovascular System in Hemorrhage.  Cardiovasc Eng Tech 2021.  Online ahead of print.  PMID: 34018154

      27.       Mould-Millman NK, Mata L, Schauer SG, Dixon J, Keenan S, Holcomb JB, Tobin JM, Moore E, de Vries S, Bedard A, Bebarta VS, Ginde AA. Defining Combat-Relevant Endpoints for Early Trauma Resuscitation Research in a Resource-Constrained Civilian Setting.  Med J (Ft Sam Houst Tex). 2021 Jul-Sep;(PB 8-21-07/08/09):3-14.  PMID: 34449854

      28.       Voller J, Tobin JM, Cap AP, Cunningham CW, Denoyer M, Drew B, Johannigman J, Mann-Salinas EA, Walrath B, Gurney JM, Shackelford SA. Joint Trauma System Clinical Practice Guideline (JTS CPG): Prehospital Blood Transfusion. 30 October 2020.  J Spec Oper Med. Winter 2021;21(4):11-21.  PMID: 34969121

      Textbook Chapters

      1.         McCunn M, Kucik CJ, Tobin JM, Grissom TE, Dutton RP.  Trauma and Acute Care.  In:  Fleisher LA, ed. Anesthesia and Uncommon Diseases.  6th ed. Philadelphia: Elsevier Health Sciences; 2012

      2.         Tobin JM. Massive Blood Transfusion In Trauma.  In: Smith C, ed. Trauma Anesthesia. 2nd ed. Cambridge: Cambridge University Press; 2015

      3.         Tobin JM, Grabinsky, A. Trauma and Burn Anesthesia. In: Barash P, ed. Foundations of Clinical Anesthesia. 1st ed. Philadelphia: Wolters Kluwer Health; 2015

      4.         Sugeir S, Grunstein I, Tobin JM.  Damage Control in Anesthesia.  In: Duchesne J, ed.  Damage Control in Trauma Care.  New York: Springer Nature; 2018

      5.         Morrison G, Tobin JM.  Endotracheal Intubation - Oral and Nasal. In: Demetriades D, Inaba K, Lumb P, eds. Atlas of Critical Care Procedures.  New York:   Springer; 2018

      Refereed On-Line Publications

      1.         Grabinsky A, Vinca N, Tobin JM.  Airway Management in Trauma: Defining Expertise.  Curr Anesthesiol Rep 2016; 6(1):1-5

      2.         Tobin JM, Lumb PD.  The Anesthesiology/Emergency Medicine Combined Residency: Defining a New Future for Trauma Resuscitation.  Curr Anesthesiol Rep 2016; 6(1):59- 64

      3.         Gurney J, Onifer D, Pamplin J, Martin M, Fields A, Williams N, Tobin J, Stockinger Z.  Pain, Anxiety and Delirium.  Department of Defense Joint Trauma System Clinical Practice Guidelines.  Published 13 Mar 2017            https://jts.amedd.army.mil/assets/docs/cpgs/JTS_Clinical_Practice_Guidel...(GPGs)/Pain_Anxiety_Delirium_13_Mar_2017_ID29.pdf    .          

      4.         Walrath BD, MC, Harper SA, Reno JL, Tobin JM, Davids N, Kharod C, Keen D, Shackelford S, Redman T, Papalski WN, Pineda B, Drew B, Shinn A, Duquette-Frame T, Barnard E, Selby D, Sauer SW, Cunningham CW, Stockinger ZT.  Interfacility Transport of Patients Between Theater Medical Treatment Facilities.  Department of Defense Joint Trauma System Clinical Practice Guidelines.  Published 24 Apr 2018  https://jts.amedd.army.mil/assets/docs/cpgs/JTS_Clinical_Practice_Guidel...(CPGs)/Transport_of_Patients_in_Theater_24_Apr_2018_ID27.pdf

      5.         Voller J, Tobin JM, Cap AP, Cunningham CW, Denoyer M, Drew B, Johannigman J, Mann-Salinas E, Walrath BD, Gurney J, Shackelford SA.  Prehospital Blood Transfusion. Department of Defense Joint Trauma System Clinical Practice Guidelines.  Published 30 Oct 2020. https://jts.amedd.army.mil/assets/docs/cpgs/Prehospital_Blood_Transfusion_30_Oct_2020_ID82.pdf

      Special Materials (Editorials, Letters, etc.)

      1.         Tobin JM.  Comment on - Damage Control Resuscitation for the Special Forces Medic: simplifying and improving prolonged trauma care. J Spec Oper Med 2010; 10(1):  63.  PMID: 20306418

      2.         Tobin JM.  Tactical Evacuation - Improving Care from Tourniquet to Trauma Center.  Marine Corps Gazette, February 2013; 56-57

      3.         Tobin JM, Nelson TJ, Moore JD.  It is time to reassess critical care evacuation.  J Trauma Acute Care Surg 2014; 76(1):250. PMID: 24368392

      4.         Tobin JM, Rossano JW, Wernicki PG, Fielding R, Quan L, Markenson D.  Dry Drowning: A Distinction without a Difference.  Resuscitation 2017; S0300-9572(17): 6. PMID: 28655623           

      5.         Tobin JM.  Bring the Trauma Bay to the Wounded.  Proceedings of the US Naval Institute 2019; 145(12): 1402

      6.         Tobin JM, Reid C, Burns BJ.  Multidisciplinary Prehospital Critical Care.  J Trauma Acute Care Surg 2020 Dec; 89(6):e188-e189.  PMID: 33231953

       

       

       

  • Clinical

    Board Certifications

    • 2006 - Anesthesiology
    • 2006 - Critical Care Medicine