Division of Global Emergency Medicine




Drs. John Foggle and Jennifer Ruskis teaching ATLS to medical providers in Nicaragua in 2012






David Bouslough, MD: Division DirectorDavid Bouslough, MD: Division Director

The mission of the Division of Global Emergency Medicine is to provide high-quality, culturally competent, emergency care, education, research, and leadership in resource- poor settings across the globe.

David Bouslough, MD, is director of the division.  He recently served as chief of emergency medicine and primary care at the LBJ Tropical Medical Center in American Samoa.  

The division is also supported by fellowship Director  Adam Levine, MD and Assistant Director Naz Karim, MD.  Other faculty include John Foggle, MD and resident coordinator Alexis Kearney, MD.




The division provides education on global health issues as an integral part of the Emergency Medicine Residency program, medical school, graduate, and undergraduate curricula. An international emergency medicine elective supports our Medicine residents, fellows, and medical students.

We are proud to offer a two-year academic fellowship in global emergency medicine affiliated with Alpert Medical School and Brown's School of Public HealthMore information is available at the Global EM Fellowship website.


Recent peer-reviewed publications in the following areas:

  • Ultrasound assessment of severe dehydration in children with diarrhea and vomiting
  • Comparing the accuracy of the three popular clinical dehydration scales in children with diarrhea
  • Use of ultrasound in the developing world
  • Managing a front-line field hospital in Libya: Description of case mix and lessons learned for future humanitarian emergencies
  • Development of emergency medicine in Rwanda
  • Academic-affiliated training centers in humanitarian health, Part I: Program characteristics and professionalization preferences of centers in North America
  • Trauma care during the Arab Spring

Service and Outreach

Faculty and residents have participated in international educational and relief activities in Haiti, American Samoa, Rwanda, Nicaragua, Liberia, Fiji, Libya, Turkey, South Sudan, and Uganda.

Rwanda Human Resources for Health, Kigali, Rwanda

Partnership with Rwandan Ministry of Health is and 11 US academic medical centers to develop the first sustainable residency programs in the country. Brown University is the lead US institution for the emergency medicine component of the program. Starting in August 2012, we will be sponsoring full-time emergency physicians fellow in Rwanda.

Health Education And Relief Through Teaching (HEARTT), Monrovia, Liberia

A member of the HEARTT consortium (Health Education And Relief Through Teaching). A current relationship exists with the President of Liberia, and with the John F. Kennedy Medical Center in Monrovia. Fellow opportunities in Liberia include extensive experience with tropical and HIV-related diseases, and medical education and public health infrastructure development.

Emergency and Trauma Care in Nicaragua, Managua, Nicaragua

We have established a relationship with two large public emergency departments, Hospital Lenin Fonseca and Hospital Roberto Calderon, in Managua, Nicaragua to help improve health care capacity by providing education to emergency medicine health care providers at these hospitals. We organized and delivered a trauma training program for EM residents and physicians at these hospitals.

Emergency Medicine Development in Fiji, Fiji

We are supporting the development of a one year post graduate EM diplomat program through the development of educational tools and participation in the residency curriculum.

Community Health Development in Haiti, La Fond, Haiti

Through partnerships with Safer Institute, World Connect, IMEC, and local Haitians, we have an ongoing mission in the rural village of La Fond (part of the greater Les Palmes district), Haiti. Our most recent mission involved deploying a 15 member team composed of Brown University associates (physician, MPH, and medical students).