About

---

I am an Emergency Medicine and Critical Care physician focused on how physiology, rescue systems, and human performance fail under extreme constraint. My work centers on resuscitation-critical environments where time, information, staffing, and resources are limited, and where small design decisions determine outcomes.

My practice spans rural and community ICUs, inter-facility critical care transport, and austere or high-risk settings. Across these contexts, the through-line is the same: reducing variance in high-stakes care by clarifying decision thresholds, standardizing critical actions, and designing tools that remain usable under cognitive load.

This site serves as a public record of that work. The Extreme Physiology briefs reflect how I frame problems when conditions are degraded. Clinical Operations Notes translate those frames into repeatable practice, particularly in resuscitation, escalation decisions, and failure modes within high-acuity systems.

I received my medical degree from the University of California, Davis School of Medicine, completed residency training in Emergency Medicine at Kaiser Permanente San Diego, and completed fellowship training in Critical Care Medicine at Loma Linda University Medical Center. I currently practice as an intensivist and EMS physician with a focus on resuscitation systems, transport medicine, and operations in resource-limited environments.

Professional profile
LinkedIn: http://www.linkedin.com/in/njmontanomd
Curriculum vitae available upon request.