Peter S. Marshall, MD, MPH, is medical director of the medical step-down unit and of respiratory care at Yale New Haven Hospital (YNHH). He cares for general pulmonary patients and those with thromboembolic diseases.
Dr. Marshall finds that caring for critically ill patients can be a balancing act in which the outcome isn’t always optimal. However, there are advances in medicine that can make a difference. In the case of an 11-year-old boy brought to YNHH in cardiac arrest, he and his colleagues used therapeutic hypothermia to cool the boy to prevent brain injury, even though the technique wasn’t usually used in pediatric patients. The therapy worked and the patient was able to return to school within a few weeks. “We were able to use a very powerful and lifesaving intervention in post-cardiac arrest care,” Dr. Marshall said.
An assistant professor of medicine (pulmonary) at Yale School of Medicine, Dr. Marshall is also leading the initiative to create a pulmonary embolism response team (PERT) that will coordinate the care of patients with life-threatening pulmonary embolism. He worked with YNHH to pilot the tele-ICU, which uses two-way video and audio technology to provide remote support for the care of critically ill patients across the Yale New Haven Health System. The InSight Tele-ICU opened in 2015 and covers approximately 45 beds across three sites with plans to extend coverage further.