Peter D. Panagos, M.D.

Peter D. Panagos, M.D.

Professor of Emergency Medicine and Neurology

Dr. Panagos is a Professor of Emergency Medicine and Neurology at Washington University in St Louis. He is a 1987 graduate of Dartmouth College. In 1994, he completed his medical education at Emory University. Following a year of surgical training at Naval Medical Center San Diego, he graduated and received his wings as a Naval Flight Surgeon in Pensacola, Florida. From 1996-1999, he was stationed in Okinawa, Japan from with the 1st Marine Aircraft Wing. In 2002, he completed a residency in Emergency Medicine at the University of Cincinnati and subsequently completed a SAEM funded Neurovascular Emergencies/Stroke Fellowship at the same institution in 2003. This was a first for an emergency physician in the US.

Dr. Panagos’ primary research and clinical interest is the acute stroke management. He has published over 100 articles and abstracts and has lectured over 350 times across the US and worldwide, mainly on the topic of stroke care.

At Washington University, he has served as the site PI for the IMS III, EXTEND and STOP IT trials-all NIH funded. He is the Director of Neurovascular Emergencies in the Division of Emergency Medicine and Co-Director of the Barnes-Jewish Hospital/Washington University Stroke Network. He currently serves on the ACEP Research Committee, American Stroke Association Scientific Statements Oversight Committee, American Stroke Association Advisory Committee and Chairs both the American Stroke Association Mission: Life Stroke Committee and Comprehensive Stroke Center EMS Routing Subcommittee. He has previously served as Chair of the Emergency Neurovascular Care Committee. He is a reviewer and Editor for several emergency medicine journals in the US and abroad, including Associate Editor of the Academic Emergency Medicine journal. Dr. Panagos is currently a Fellow of both the American Heart Association (AHA) and American College of Emergency Medicine (ACEP).


  • B.A., Dartmouth College, 1987
  • M.D., Emory University School of Medicine, 1994


  • Internship: Naval Medical Center San Diego (1994-95)
  • Flight Surgery: Naval Operational Medical Institute, Pensacola, FL (1995-96)
  • Residency: Emergency Medicine University of Cincinnati (1999-2002)
  • Fellowship: Neurological Emergencies, University of Cincinnati (2002-03)

Licensure and Board Certification

  • Missouri: Active
  • Massachusetts: Active
  • Diplomat, American Board of Emergency Medicine (ABEM) 2003-current

Honors and Awards

  • 2017 Mission Impact Award for Quality and Systems Improvement, American Heart Association
  • 2016 Stroke Care in Emergency Medicine AwardAwarded at the 2016 AHA/ASA International Stroke Meeting, Los Angeles, CA, February 2016 
  • Top Doctors Award, 2015-2016
  • Best Doctors in America, 2015-2016
  • Team Award for Quality Improvement (TAQI), 2014
  • Team Award for Quality Improvement (TAQI), 2011
  • Team Award for Quality Improvement (TAQI), 2011
  • Fellow, American Heart Association/American Stroke Association, 2010
  • 2009 Rhode Island AHA/ASA Grassroots Volunteer of the Year, 2009
  • Fellow, American College of Emergency Physicians, 2008
  • Letter of Achievement, 2008
  • Recipient, Robert J. Doherty, MD, FACEP EMF/ACEP, ACEP Teaching Fellowship Scholarship, Dallas, TX, 2002-2003
  • Chief Resident, Department of Emergency Medicine University of Cincinnati College of Medicine, Cincinnati, OH, 2001-2002
  • Meritorious Service Medal, 1999
  • Cum Laude, 1993-1994
  • Alpha Omega Alpha Honor Society, 1993-1994
  • Recipient, Naval Health Sciences Program Scholarship, 1990-1994

Recent Publications view all

  1. Hill MD et al for the IMS3 Investigators. Alberta Stroke Program Early Computed Tomography Score to Select Patients for Endovascular Treatment. IMS-III Trial. Stroke. 2013;45:444-449.
  2. Liebeskind DS et al for the IMS III Investigators. Collaterals at Angiography and Outcomes in the Interventional Management of Stroke (IMS) III Trial. Stroke. 2014. Published online January 28, 2014.
  3. Curfman D, Connor LT, Moy HP, Heitsch L, Panagos PD, Lee JM, Tan DK, Ford AL. Accuracy of Emergency Medical Services-Reported Last Known Normal Times in Patients Suspected with Acute Stroke. Stroke. Published online March 18, 2014.
  4. Biller J, Sacco RL, Albuquerque FC, Demaerschalk BM, Fayad P, Long PH, Noorollah LD, Panagos PD, Schievink WI, Schwartz NE, Shuaib A, Thaler DE, Tirschwell DL; on behalf of the American Heart Association Stroke Council. Cervical arterial dissections and association with cervical manipulative therapy: a statement for healthcare professionals from the American Heart Association/American Stroke Association [published online ahead of print August 7, 2014]. Stroke. doi: 10.1161/STR.0000000000000016.
  5. Joseph P. Broderick, MD, Yuko Y. Palesch, PhD, Andrew M. Demchuk, MD, Sharon D. Yeatts, PhD, Pooja Khatri, MD, Michael D. Hill, MD, Edward C. Jauch, MD, Tudor G. Jovin, MD, Bernard Yan, MD, Rüdiger von Kummer, MD, Carlos A. Molina, MD, Mayank Goyal, MD, Mikael Mazighi, MD, PhD, Wouter J. Schonewille, MD, Stefan T. Engelter, MD, Craig Anderson, MD, PhD, Judith Spilker, RN, BSN, Janice Carrozzella, MSN, APRN, RT(R), L. Scott Janis, PhD, Lydia D. Foster, MS, Thomas A. Tomsick, MD, for the Interventional Management of Stroke III Investigators. Evolution of Practice During the Interventional Management of Stroke III Trial and Implications for Ongoing Trials. Stroke. October 2014
  6. Hongyu A, Ford A, Chen Y, Zhu H, Ponisio R, Kumar G, Modir-Shanechi A, Khoury N, Vo K, Williams J, Derdeyn C, Diringer M, Panagos P, Powers P, Lee JM, Lin W. Defining the Ischemic Penumbra using Magnetic Resonance Oxygen Metabolic Index Stroke. 2015;46:982-988.
  7. SAEM Neurologic Emergencies Interest Group Writing Group. The Emergency Medicine Debate on tPA for Stroke: What is Best for Our Patients? Efficacy in the First Three Hours. Academic Emergency Medicine Online Publication, June 25, 2015
  8. Can we augment stroke thrombolysis? The use of magnetically-Enhanced Diffusion (MED (TM)) of intravenous tPA in Acute Ischemic Stroke Bladin C, Levi, C, Parsons, M, Campbell, B, Panagos, P, Derdyn, C, Creighton, F. International J Stroke. Sep 2015;10(3): 18-19.
  9. Contributing Author, 2015 Handbook of Emergency Cardiovascular Care for Healthcare Providers. American Heart Association (First Print November 2015), ISBN 978-1-61669-397-8.
  10. Goyal M, Hoff B, Williams J, Khoury N, Wiesehan R, Heitsch L, Panagos P, Vo K, Benzinger T, Derdeyn C, Lee JM, Ford A. A streamlined hyperacute MRI protocol identifies tPA-eligible stroke patients when clinical impression is stroke mimic. Submitted to Stroke 10/15.

Book Chapters

  1. Panagos PD, Chee K. Management of TIA and Stroke in the Emergency Department. In Roppolo LR, Rosen P, Davis D, Kelly S (eds). Emergency Medicine Handbook: Clinical Concepts for Clinical Practice. Mosby Elsevier, 1st Edition, 2006.
  2. Panagos PD. Airshow Disasters. In: Practical Approach to Disaster Medicine and Terrorist Events. Editor Greg Ciottone. Mosby Elsevier; 1st edition, 2006
  3. Panagos PD (Special Contributor). ACLS for Experienced Providers. Manual and Resource Text. American Heart Association. 2013. ISBN 978-1—61669-313-8.
  4. Panagos PD. Airshow Disasters. In: Practical Approach to Disaster Medicine and Terrorist Events. Editor Greg Ciottone. Mosby Elsevier; 2nd edition, 2016

Other Peer-Reviewed Publications

  1. Panagos PD. Book Review: Emergency Imaging by Jeffrey GB. J Emerg Med 2001;20(3): 336-37.
  2. Panagos PD. Book Review: Emergency Radiology by Schwartz DT. J Emerg Med 2001;20 (3): 335-36.
  3. Panagos PD. Book Review: Principles and Practice of Emergency Neurology: Handbook for Emergency Physicians. Edited By Shah SM and Kelly KM. Ann Emerg Med 2004;44(3): 291-292.
  4. Panagos PD. Barnes-Jewish Hospital Applies Lean Methodology to Acute Stroke Care, Maximizing Resources and Slashing Door-to-Needle Times. ED Management. February 2013: Vol. 25 (2): 13-17.
  5. Panagos PD. Washington University School of Medicine, Department of Emergency Medicine Journal Club Podcast. Released June 26, 2015.

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