Excited Delirium Expert Witnesses

Emergency Medicine, Emergency Medical Services - Ultrasound, electrocardiogram, chest pain, heart attack, myocardial infarction, heart failure, cardiac arrest, ACLS, pulmonary embolism, hypertension, aorta, dissection, pericardial effusion, tamponade, aneurysm, fibrillation, arrhythmia, resuscitation, Excited Delirium

Residency trained EM at Yale, boarded in EM, 10 + years experience urban environment. I am versed in all aspects of emergency medicine, but I have focused on cardiovascular problems in my research and education. I have published numerous academic articles and produced educational material about the use of the ECG and bedside ultrasound to diagnose cardiac and respiratory conditions, including MI, CHF, PE, pre-eclampsia with pulmonary edema, pericardial tamponade, pulmonary embolism, aortic dissection, coronary artery dissection, management of arrhythmias, cardiac arrest, evaluation of chest pain, evaluation of shortness of breath, and other cardio-respiratory problems. Additionally, I was a paramedic for 5 years before medical school, and maintain a relationship with EMS currently. I am prepared to discuss excited delirium and cardiac arrest in custody, whether in the ED or in the prehospital context.

Emergency Medicine - Excited Delirium, Overdose, Ketamine, Bowel Obstruction, Perforation, Sepsis, Stroke, Ischemic Bowel, Torsion, Heart Attack, Compartment Syndrome, Open Fracture, Ectopic Pregnancy, Covid, Head Injury, Suicide, Psychiatric Clearance, Medical Clearance, Pulmonary Embolism, Dissection, Anaphylaxis

I am an actively practicing full-time Emergency Medicine Physician since completing my residency in 2012. I have worked in a number of high acuity community emergency departments since getting board certified, and currently work primarily at Delray Medical Center, a top Florida hospital (recipient of the Healthgrades America’s 50 Best Hospitals Award, 2007-2020). I have extensive experience working at a hospital that serves multiple roles in my community including functioning as a Level I Trauma Center, Comprehensive Stroke Center, Nationally Ranked Heart Center, Psychiatric-Hold Receiving Facility. In addition to the above clinical work, I am also an affiliate assistant professor for the FAU Emergency Medicine Residency Program. I have received teaching awards for my involvement in the program, and am involved in the clinical competency committee, helping to determine if residents have developed the skills and knowledge to advance in their training. Lastly, I am...

Emergency Medicine - Excited Delirium, Overdose, Ketamine, Bowel Obstruction, Perforation, Sepsis, Stroke, Ischemic Bowel, Torsion, Heart Attack, Compartment Syndrome, Open Fracture, Ectopic Pregnancy, Covid, Head Injury, Suicide, Psychiatric Clearance, Medical Clearance, Pulmonary Embolism, Dissection, Anaphylaxis

I am an actively practicing full-time Emergency Medicine Physician since completing my residency in 2012. I have worked in a number of high acuity community emergency departments since getting board certified, and currently work primarily at Delray Medical Center, a top Florida hospital (recipient of the Healthgrades America’s 50 Best Hospitals Award, 2007-2020). I have extensive experience working at a hospital that serves multiple roles in my community including functioning as a Level I Trauma Center, Comprehensive Stroke Center, Nationally Ranked Heart Center, Psychiatric-Hold Receiving Facility. In addition to the above clinical work, I am also an affiliate assistant professor for the FAU Emergency Medicine Residency Program. I have received teaching awards for my involvement in the program, and am involved in the clinical competency committee, helping to determine if residents have developed the skills and knowledge to advance in their training. Lastly, I am...

Emergency Medicine - Excited Delirium, Overdose, Ketamine, Bowel Obstruction, Perforation, Sepsis, Stroke, Ischemic Bowel, Torsion, Heart Attack, Compartment Syndrome, Open Fracture, Ectopic Pregnancy, Covid, Head Injury, Suicide, Psychiatric Clearance, Medical Clearance, Pulmonary Embolism, Dissection, Anaphylaxis

I am an actively practicing full-time Emergency Medicine Physician since completing my residency in 2012. I have worked in a number of high acuity community emergency departments since getting board certified, and currently work primarily at Delray Medical Center, a top Florida hospital (recipient of the Healthgrades America’s 50 Best Hospitals Award, 2007-2020). I have extensive experience working at a hospital that serves multiple roles in my community including functioning as a Level I Trauma Center, Comprehensive Stroke Center, Nationally Ranked Heart Center, Psychiatric-Hold Receiving Facility. In addition to the above clinical work, I am also an affiliate assistant professor for the FAU Emergency Medicine Residency Program. I have received teaching awards for my involvement in the program, and am involved in the clinical competency committee, helping to determine if residents have developed the skills and knowledge to advance in their training. Lastly, I am...

Emergency Medical Services, Emergency Medicine - EMS, Emergency Medical Services, paramedics, ambulance, prehospital care, resuscitation, Critical care transport, myocardial infarction, airway management, death in custody, excited delirium, allergic reactions, EMTs, protocols, intubation, cardiac arrhythmia, trauma care

A prolific international speaker and author of over 50 articles, magazine columns, and book sections, as well as seeing patients as an NYS and Nationally registered paramedic since 1983, Paul brings over four decades of EMS experience to his clients. In addition to fourteen years as an NYC Paramedic, Professor Werfel has served as The Program Coordinator for Advanced Cardiac, Trauma, and Pediatric life support at the Emergency Care Institute at Bellevue Hospital-NYU Medical Center in New York City, and as Emergency Care Programs Coordinator at Jamaica Hospital, Queens N.Y. In addition to his years as Director of the Stony Brook University EMT and Paramedic Program, He also serves as Professor of Clinical Emergency Medicine and Clinical Assistant Professor of Health Science. As a recipient of the 1998 Faculty Achievement Award, Professor Werfel is also a member of the review boards for Pre-hospital and Disaster Medicine, and Pre-Hospital Immediate Care Magazines. He was an expert ...

Emergency Medicine, Emergency Medical Services - Prehospital medicine, Motor Vehicle Accident, Standard of Care, Online Medical Direction, Offline Medical Direction, Fire Department, Protocols, ACLS, ATLS, Medical Oversight, Emergency Medical Technician, Paramedic, Excited Delirium, Refusal, No Patient, Field Termination, Peer Review, QA, QI

-Board Certified Emergency Medicine -Board Certified Emergency Medical Services -Fellow of the American College of Emergency Physicians -Physician-at-large National Association of Emergency Physicians Texas Chapter -Member of Performance Improvement Committee fka Peer Review Committee Harris Health System -Active EMS Medical Director -Assistant Professor Emergency Medicine at one of the busiest Level 1 Trauma Centers in the US -Medical resident and medical student educator

Emergency Medical Services - Emergency Medical Services, EMT, Paramedic, Standard of Care, Prehospital, Inter-facility Transport, Ambulance, Cardiac Arrest, Airway Management, Choking, Spinal Injury Management, Excited Delirium, Patient Restraint, Refusal of Care, Failure to Transport, Patient Safety.

* Residency trained and Board Certified in Emergency Medicine * Sup-specialty Board Certified in Emergency Medical Services * Minnesota State EMS Medical Director 2007 - 2010 * Wisconsin State EMS Medical Director 2006 - 2008 * Chair, National Council of State EMS Medical Directors 2006 - 2008 * EMS Physician Advisory Committee, Wisconsin DHFS 1993 - 2004 * Author of two ECG texts and Medical Advisor to two Emergency Medical Responder textbooks * Editorial Board member Journal of Emergency Medical Services 2007 - present * Medical Director M Health Fairview EMSd (St. Paul MN) 2008 - 2020 * Medical Director United Emergency Medical Response (WI) 2007 - Present * Medical Director Ashland Bayfield County (WI) 2006 - 2012 * Medical Director Eau Claire Fire Department (WI) 1994 - 2004 * Assistant Medical Director Janesville Fire Department (WI) 1989 - 1993 My experience in direct oversight of EMS agencies and development of state-wide policies and protocols attests to my ability to ev...