Department of Surgery »  Faculty »  SFGH Hospital & Trauma Center »  Robert C. Mackersie, M.D.

Robert C. Mackersie, M.D.

Professor of Surgery
Division of General Surgery
Director, Trauma Service,
San Francisco General Hospital
Vice Chief of Surgery, San Francisco General Hospital
 

Contact Information

Campus Box 0807
Department of Surgery
San Francisco General Hospital
San Francisco, CA 94143-0807
(415) 206-8673 Appointments
(415) 206-4622 Office
(415) 206-5484 Fax
rmackersie@sfghsurg.ucsf.edu

Education

  • UC Berkeley, B.S., Mechanical Engineering, 1973
  • UC Berkeley, M.S., Engineering Science, 1974
  • Michigan State University, M.D., 1978

Residencies

  • 1978-81, UCSF School of Medicine, Resident, Surgery
  • 1983-84, UCSF  School of Medicine, Senior Resident, Surgery
  • 1983-85, UCSF  School of Medicine,  Chief Resident, Surgery

Fellowships

  • 1981-83, UCSF School of Medicine, Fellow, Trauma Research (NIH sponsored)

Board Certifications

  • American Board of Surgery, 1986
  • American Board of Surgery, Surgical Critical Care, 1988

Clinical Expertise

  • General Surgery
  • Surgical Critical Care
  • Trauma Surgery
  • Vascular Surgery

Research Interests

  • Ventilatory management of patients with ARDS
  • Violence Prevention
  • Inflammatory lung injury following major injury
  • Trauma systems development

Biography

Mackersie is a Board certified general surgeon with board certification in surgical critical care with a regular, sustained practice in general and trauma surgery, which includes vascular and thoracic surgery.  In addition, he is a regular attending on the Surgical Critical Care Service at San Francisco General Hospital and serves as the Vice-Chief of Surgery at San Francisco General Hospital.

Dr. Mackersie is a graduate of UC Berkeley and Michigan State University Medical School.  He completed his internship, residency and chief residency training in general surgery and surgical critical care at the University of California, San Francisco, where he continued his specialty training and completed a trauma research fellowship.  Dr. Mackersie joined the faculty at the University of California, San Diego University Hospital from 1985-1991.

Dr. Mackersie was appointed the Trauma Medical Director in 1992 at the University of California/San Francisco General Hospital and has been instrumental in expanding the multidisciplinary activities related to the Trauma Program.  Dr. Mackersie currently serves as an officer for several surgical organizations and is a Governor of the American College of Surgeons.  Dr. Mackersie has been appointed Secretary/Treasurer for the American Association for the Surgery of Trauma.  Dr. Mackersie has also expanded the Trauma Nurse Practitioner program, and has progressed in developing the first aero-medical transport facility at San Francisco General Hospital.  He has also been appointed Commissioner for the State of California Emergency Medical Services Authority, which is appointed by the Governor/California Speaker of the House.

Dr. Mackersie continues to direct the national program in Trauma System Planning and Evaluation for the American College of Surgeons, which includes the development of national benchmarks for trauma systems and trauma centers, and the creation of national guidelines for trauma systems development. 

Research Overview

  • Inflammatory Lung Injury following major injury: One of the main areas of focus has been post-traumatic inflammatory lung injury. This collaborative research effort has continued, with new reports of the clinical syndrome of ARDS (ref # 63), the impact of ARDS on specific outcomes (ref # 62), and a recent report examining surrogate serum markers predictive of inflammatory lung injury. (ref # 65). The most recent work, still in preparation (Abstract, WIP ref # 3), attemps to link elements of inflammation with post-traumatic coagulopathy, and to better define the nature of early coagulopathy (pre-massive transfusion) that follows shock, traumatic brain injury, and major organ injury.
  • Ventilatory management of patients with ARDS (refs # 66,67). Technical clinical studies performed in ICU patients with ARDS that attempt to expand our understanding of "optimal" modes of lung protective ventilation (LPV) in the setting or acute lung injury. LPV strategies are one of the few, if not the only demonstrable intervention having an impact on the outcome from ARDS over the past 15 years. 
  • Violence prevention recidivism (Abstracts/WIP ref # 1). Work in progress, this is part of an ongoing clinical and programmatic study that screens victims of youth violence & assesses the likelihood of recidivism. "High risk" patients are then referred into a program linking hospital services with post-discharge neighborhood/community services for violence prevention. A randomized study is being designed to compare recidivism outcomes with and without programmatic influence.
 

Publications

Most recent publications from a total of 73
  1. Campion EM, Mackersie RC. Recent developments in the assessment of the multiply injured trauma patient. Curr Opin Crit Care. 2014 Dec; 20(6):620-5. View in PubMed
  2. Staudenmayer K, Lin F, Mackersie R, Spain D, Hsia R. Variability in California triage from 2005 to 2009: A population-based longitudinal study of severely injured patients. J Trauma Acute Care Surg. 2014 Apr; 76(4):1041-7. View in PubMed
  3. Theologis AA, Dionisio R, Mackersie R, McClellan RT, Pekmezci M. Cervical spine clearance protocols in level 1 trauma centers in the United States. Spine (Phila Pa 1976). 2014 Mar 1; 39(5):356-61. View in PubMed
  4. Nakamura Y, Daya M, Bulger EM, Schreiber M, Mackersie R, Hsia RY, Mann NC, Holmes JF, Staudenmayer K, Sturges Z, Liao M, Haukoos J, Kuppermann N, Barton ED, Newgard CD. Evaluating age in the field triage of injured persons. Ann Emerg Med. 2012 Sep; 60(3):335-45. View in PubMed
  5. Staudenmayer K, Hsia R, Wang E, Sporer K, Ghilarducci D, Spain D, Mackersie R, Sherck J, Kline R, Newgard C. The forgotten trauma patient: outcomes for injured patients evaluated by emergency medical services but not transported to the hospital. J Trauma Acute Care Surg. 2012 Mar; 72(3):594-9; discussion 599-600. View in PubMed
  6. Mackersie RC. Service: 2010 Western Trauma Association presidential address. J Trauma. 2011 Feb; 70(2):267-72. View in PubMed
  7. Mackersie RC. Pitfalls in the evaluation and resuscitation of the trauma patient. Emerg Med Clin North Am. 2010 Feb; 28(1):1-27, vii. View in PubMed
  8. Rogers SJ, Cello JP, Horn JK, Siperstein AE, Schecter WP, Campbell AR, Mackersie RC, Rodas A, Kreuwel HT, Harris HW. Prospective randomized trial of LC+LCBDE vs ERCP/S+LC for common bile duct stone disease. Arch Surg. 2010 Jan; 145(1):28-33. View in PubMed
  9. Dicker RA, Jaeger S, Knudson MM, Mackersie RC, Morabito DJ, Antezana J, Texada M. Where do we go from here? Interim analysis to forge ahead in violence prevention. J Trauma. 2009 Dec; 67(6):1169-75. View in PubMed
  10. Cohen MJ, Bir N, Rahn P, Dotson R, Brohi K, Chesebro BB, Mackersie R, Carles M, Wiener-Kronish J, Pittet JF. Protein C depletion early after trauma increases the risk of ventilator-associated pneumonia. J Trauma. 2009 Dec; 67(6):1176-81. View in PubMed
  11. View All Publications
Publications provided by UCSF Profiles, powered by CTSI at UCSF. View profile of Robert C. Mackersie, M.D.
Please note: UCSF Profiles publications are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact CTSI for help.

X