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George Malcom, MD

Specialities

Emergency Medicine
Hyperbaric Medicine

Education

Doctor of Medicine

George Malcom, MD

Emergency Medicine Specialist affiliated with Wellstar since 2006.
A friendly headshot of George Malcom, MD Emergency Medicine Specialist affiliated with Wellstar since 2006
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Doctor of Medicine

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Medical College of Georgia-Augusta University

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Wake Forest University School of Medicine

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North Shore University Hospital

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American Board of Emergency Medicine - EM

Hospital Affiliations

Wellstar North Fulton Hospital
Wellstar Sylvan Grove Hospital

Publications and Articles


Illustration of an ambulance

Save Lives, Don’t Drive — When to Call 911

When a stroke or heart attack strikes, every second matters. Saving time could mean saving a life, and it’s crucial that medical treatment starts right away. That’s why in the case of a heart attack or stroke, call 911 immediately — don’t drive yourself or another person to the hospital. 

Emergency Medical Service crews are trained to start life-saving treatment on the way to the hospital, minimizing damage to your heart or brain. They can also conduct and interpret electrocardiograms to diagnose a heart attack in the ambulance. 

You also don’t want to drive if you are experiencing a heart attack or stroke yourself because your condition could worsen on the way to the emergency department and impact your ability to stay safe on the road. 

“If you're having an emergency, which could be severe abdominal pain, chest pain, shortness of breath, weakness that you can't really explain, you've got to call 911,” said Dr. Ed Malcom, an emergency medicine physician at Wellstar North Fulton Hospital. “The ambulance and the EMS services will get you to the emergency department in a safe way, and we will get you taken care of.” 

When a patient has a heart attack, ambulance crews communicate with our cardiac team on the way to the hospital, bypassing the emergency department and diverting directly to the cardiac catheterization lab, where our team is ready to restore blood flow to your heart. Calling 911 means reopening the heart artery sooner. And when someone has a stroke, it’s also crucial to take action right away — the sooner you seek treatment, the more brainpower can be saved. 

To learn more about how Wellstar treats heart attacks and strokes, visit our heart care and neuro care pages. 

Read the full article
Published on: June 2021
Cindy cutting vegetables in her home kitchen

CindyCare

To say Cindy Mejia is “busy” is an understatement. 

She’s constantly crunching numbers as an accounting manager for a large research institute, trying out new recipes in her kitchen at her Roswell home, or trying to keep up with her little granddaughter (who just discovered how much fun it is to run).

But one Wednesday in September, Cindy woke up and reached for her computer, trying to get an early start to her workday. She felt a little groggy and couldn’t remember her password but didn’t immediately realize something was wrong.

Then she stood up. Her right arm and leg weren’t functioning, and that’s when Cindy knew what was happening — she was having a stroke.

“The first thing I thought was, ‘I need to get to Wellstar North Fulton right away,’” Cindy said. “I knew the hospital was nearby and has a good reputation.”

That decision ultimately saved her brain and life.

For Cindy, the critical care she needed was close to home, too — she lives four miles from Wellstar North Fulton Hospital. There, her care team sprang into action, bringing her the treatment and peace of mind in a moment of crisis.

“From then on, I felt well taken care of,” Cindy said. “I was relieved, and I knew I was going to be OK.”

 

Cindy's close-to-home 'pit crew'

When a patient has a stroke, every second matters. Each minute that ticks by could be the difference between a permanent stroke and a return to routine. So at North Fulton, Cindy’s care team assembled quickly to save her brainpower.

“We’re like the pit crew on a NASCAR team,” said Dr. Ed Malcom, a Wellstar emergency medicine physician. “We have our emergency stroke care response down to a science. Everyone knows their role and works together to act quickly.”

Cindy was one of the first patients at North Fulton to benefit from the hospital’s newest addition to its stroke program. While North Fulton has been a primary stroke center for years, the introduction of thrombectomies at the hospital gives patients a close-to-home, life-saving option for stroke care — saving them both time and brainpower.

A thrombectomy is a minimally invasive procedure used to unclog an artery, restoring blood flow to the brain and preventing further damage. It does not involve cutting of the brain but instead starts with the insertion of a catheter through the patient’s groin.

“Recently, we’ve developed our own capability right here in the North Fulton area to pull the clot out of the brain. That’s a giant leap forward,” Dr. Malcom explained. “It's good for the whole state because there's only a handful of hospitals that do that, and it's good for the residents that live in that North Fulton area to have a hospital so close. They don't have to take a helicopter ride somewhere to get that procedure done. It saves time.”

For Cindy, having that procedure just a few miles from her home, right when she needed it, helped save her brain function.

“If Cindy would have gone to a different hospital that didn't provide this care, then it would have been a long time before she was able to have blood flow restored to the brain,” Wellstar Neurosurgeon Dr. Benjamin Zussman said, explaining how critical each section was when it came to Cindy’s care. “The delay could have been 30 minutes or even an hour, and it's possible that she would have had permanent stroke, permanent damage to her brain instead of making the recovery she did.”

Offering thrombectomies at North Fulton has brought long-needed stroke services to the area north of Atlanta, so patients like Cindy don’t have to travel into the city through busy traffic to get the treatment they need.

“In a city like Chicago or New York, there are almost eight or nine stroke centers that provide thrombectomy in a city,” said Dr. Rishi Gupta, director of the stroke and neurocritical care program at Wellstar. “Here in metro Atlanta, we have only had three for a long, long time. So, being able to provide care for patients in the northeast corner of our city is crucial because almost 2 million people live in that quadrant.”

Proximity to care is especially important for critical situations like strokes, Dr. Gupta said.

“Any disease that is time-sensitive where patients need to get to the hospital quickly, get treated quickly — the geography is everything, particularly in bad weather when helicopters cannot fly,” he said, explaining how logistics can impact life-saving stroke care. “We need to be able to provide services in the communities the patients reside and the North Fulton program is uniquely positioned to do that.”

Signs of a stroke can include a loss of balance, dizziness, blurry vision or sudden vision loss, drooping in the face, arm or leg weakness, and difficulty speaking. Patients who experience any of those symptoms should call 911 and seek medical care right away. 

Cindy said she is glad she got to the hospital as soon as she could — “I am so thankful that I took quick action and that I had Wellstar so close.” At North Fulton, she not only received the highest level of stroke care. Wellstar takes a multidisciplinary approach to stroke care, including specialists such as critical care specialists, neurologists, neurointerventionalists and physical therapists on the care team. 

“When you're feeling pretty healthy, you don't think a stroke can happen to you. It happens so quickly. You don't necessarily get a warning,” Cindy said, sharing the importance of listening to your body’s signals when it comes to health. “You can feel one way one day or one minute, and the next minute, it changes.”

Read the full article
Published on: March 2021
George Malcom, MD
Emergency Medicine Specialist affiliated with Wellstar since 2006
www.wellstar.org/physicians/george-malcom-md
Specialties
Emergency Medicine , Hyperbaric Medicine
Education
Doctor of Medicine
Medical School
Medical College of Georgia-Augusta University
Residency
Wake Forest University School of Medicine
Fellowship
North Shore University Hospital
Certifications
American Board of Emergency Medicine - EM
Spoken Languages
English
Hospital Affiliations
Wellstar North Fulton Hospital
Wellstar Sylvan Grove Hospital
Office Locations
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