EMS Research with Professor Bram

Workplace violence is an escalating crisis in EMS, often dismissed as just "part of the job." But what if you could predict which patients were likely to become aggressive before an incident occurred? In this episode, we sit down with researchers Dr. Son Chae Kim and Kathie Dunn to discuss the ABRAT-EMS, a new, evidence-based screening tool designed to help crews spot risk early and stay safe.We break down how this simple three-item checklist works, the science behind its development from over 9,000 patient encounters, and how you can implement it on your next shift. This is a must-listen for any provider who wants to move from reactive defense to proactive prevention.In this episode, we cover:• The rising reality of workplace violence against EMS clinicians• Why "gut feeling" isn't enough when assessing safety risks• How the ABRAT-EMS tool was developed using real-world data• The three specific behaviors that predict violence: agitation, confusion, and aggression• How to score patients and determine their risk level (Low, Medium, High)• Practical steps for using the score to make decisions about de-escalation and law enforcement• Addressing special populations like patients with dementia or intoxicationResources Mentioned:Kim, S.C., Dunn, K., Youells, C., Whitmore, G., McComack, A., Dievendorf, E., Bell, C., Burnett, S.J., Kim, S. and Clemency, B., 2025. Aggressive Behavior Risk Assessment Tool for Emergency Medical Services. JACEP Open, 6(3), p.100095.Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-CommunicationStay Connected:Connect with Us: For more information, visit our website at www.ProfessorBram.comSubscribe: If you enjoyed this episode, please consider subscribing to EMS Research on YouTube: /@4emsresearchMonthly Research Review: Stay up to date with the latest research in EMS through the International PreHospital Medicine Institute's monthly article reviews: https://iphmi.com/ems-articles-of-the-month

Gastric lavage, a procedure for pumping the stomach after poisoning, was once a standard of care. Now, it's rarely used due to a lack of evidence and risk of complications. So why are we talking about it in 2026? A recent case report in Prehospital Emergency Care challenges us to reconsider if there’s a narrow, specific role for this intervention in the most critically ill overdose patients.In this episode, we speak with Dr. Nicholas Studer, one of the study's lead authors, to explore this controversial topic. We'll examine the specific clinical cues that might justify gastric lavage in the field and discuss the strict contraindications that every provider must know. This is a critical conversation about balancing historical practices with modern, evidence-based medicine for the sickest patients.In this episode, we cover:• The history of gastric lavage and why its use has declined.• A breakdown of a recent case where prehospital gastric lavage was successfully used.• The very specific and narrow indications for considering gastric lavage in 2026.• Clear contraindications and "hard stops" for the procedure in the field.• How this procedure fits with current toxicology guidelines.Resources Mentioned:Studer, N. M., & Hoffman, R. S. (2025). Prehospital Gastric Lavage for the Treatment of Critically Ill Overdose or Poisonings: A Case Report. Prehospital Emergency Care, 1-3.Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://www.routledge.com/Hypnotic-Communication-in-Emergency-Medical-Settings-For-Life-Saving-and-Therapeutic-Outcomes/JacobsFourArrows-Duffee/p/book/9781032360027Stay Connected:• Connect with Us: For more information, visit our website at www.ProfessorBram.com• Subscribe: If you enjoyed this episode, please consider subscribing to EMS Research on YouTube: /@4emsresearch• Monthly Research Review: Stay up to date with the latest research in EMS through the International PreHospital Medicine Institute's monthly article reviews: https://iphmi.com/ems-articles-of-the-month

Domestic violence calls are among the most complex and high-risk situations paramedics encounter. Often, the signs are subtle-confusion, headaches, or a hesitant patient-and mask a much darker reality of non-fatal strangulation or traumatic brain injury. In this episode, we speak with researcher Dr. Rory Marshall about a groundbreaking study that asked survivors of intimate partner violence (IPV) what they really needed from EMS.Dr. Marshall discusses the disconnect between standard paramedic assessments and the lived reality of survivors. We explore the seven key challenges survivors face, from perceived bias to dangerous perpetrator dynamics on scene. Most importantly, we discuss three practical, actionable steps every medic can take to build trust, create safety, and identify hidden injuries.In this episode, we cover:•Why domestic violence calls are high-stakes moments for both patients and providers•Key insights from survivor interviews about their EMS experiences•The seven main challenges survivors face during EMS encounters, including bias, inadequate support, and system limitations•The dangers and recognition of non-fatal strangulation and traumatic brain injury in IPV situations•Practical steps for paramedics to build trust, foster safety, and communicate effectively on scene•How to safely create opportunities for private conversation with survivorsResources Mentioned:Marshall, R. A., Merritt, N., Stranges, T. N., Bartlett, S., Sawyer, S., & van Donkelaar, P. (2025). “The questions made me realize how many times I could have been saved and removed from that situation”: The experiences of patients attended to by paramedics for intimate partner violence, and actionable implementations for paramedicine. BMC Women's Health, 25(1), 254.Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders.  https://www.routledge.com/Hypnotic-Communication-in-Emergency-Medical-Settings-For-Life-Saving-and-Therapeutic-Outcomes/JacobsFourArrows-Duffee/p/book/9781032360027Stay Connected:For more information, visit our website at www.ProfessorBram.comIf you enjoyed this episode, please consider subscribing to EMS Research on YouTube: /@4emsresearchResearch Review: Stay up to date with the latest research in EMS through the International PreHospital Medicine Institute's monthly article reviews: https://iphmi.com/ems-articles-of-the-month

When does a quality improvement project become human research? If you're reviewing patient charts or surveying new hires, you might be stepping into the world of research ethics without even realizing it. In this episode, we sit down with Dr. Jeffrey Franc to demystify research ethics for EMS professionals. We break down why it's a crucial part of our professional responsibility, not just a bureaucratic hoop to jump through for publishing.Dr. Franc explains the fundamentals of human participant research, the role of Institutional Review Boards (IRBs), and clears up common misconceptions that can lead to ethical missteps. This conversation is essential for any medic, educator, or leader who wants to improve patient care responsibly and maintain public trust.Key Points Covered in This Episode:Why research ethics matter in the day-to-day practice of EMSUnderstanding what qualifies as "human participant research" and how it applies in EMSThe key role of Institutional Review Boards (IRBs) and why independent oversight is requiredClearing up misconceptions: de-identified data, patient consent, and the ethics approval processThe importance of comprehensive ethical review for quality improvement projects and education-based researchPractical advice for EMS providers on starting research responsibly and ethicallyDr. Jeffrey Franc’s expert insights on protecting patients, communities, and professional integrityDisclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency/acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Commun... Resources Mentioned:Franc, J. M., & O’Mathúna, D. (2025). Navigating Research Ethics for Prehospital and Disaster Medicine. Prehospital and Disaster Medicine, 40(3), 125–128.Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Stay Connected:Connect with Us: For more information, visit our website at www.ProfessorBram.comSubscribe: If you enjoyed this episode, please consider subscribing to EMS Research on YouTube: /@4emsresearchMonthly Research Review: Stay up to date with the latest research in EMS through the International PreHospital Medicine Institute's monthly article reviews: https://iphmi.com/ems-articles-of-the...

For a pulseless trauma patient, starting CPR is an ingrained response. But in cases of pulseless electrical activity (PEA) from severe blood loss, could chest compressions do more harm than good? Host Bram Duffee, PhD, EMT-P, speaks with Dr. Patrick Greiffenstein, lead study author and Trauma ICU Director at LSU New Orleans, about new research that challenges a core tenet of resuscitation.Dr. Greiffenstein’s study used a porcine model to simulate severe hemorrhagic shock. Researchers compared key outcomes between a group that received automated CPR during the shock phase and a group that did not, focusing on oxygen delivery to the brain and skin.Key Findings:• CPR provided no improvement in brain or skin oxygenation.• Skin perfusion was significantly lower in the group receiving CPR.• While systolic blood pressure increased, diastolic blood pressure—critical for organ perfusion—was significantly reduced.• Intracranial pressure (ICP) showed a threefold increase with CPR, suggesting disruption of normal cerebral blood flow.Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-month Connections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com If you enjoyed this episode please consider subscribing to EMS Research on YouTube: / @4emsresearchReference: Greiffenstein, P., Cavalea, A., Smith, A., Sharp, T., Warren, O., Dennis, J., Gatterer, M. C., Danos, D., Byrne, T. C., Scarborough, A., Deville, P., & VanMeter, K. (2025). Effect of cardiopulmonary resuscitation on perfusion in a porcine model of severe hemorrhagic shock. The Journal of Trauma and Acute Care Surgery, 98(2), 251–257.

Can artificial intelligence tools like ChatGPT help paramedics with differential diagnosis and transport decisions? A groundbreaking new study explores AI's accuracy in prehospital care, offering a glimpse into a future where technology acts as a clinical safety net. Host Bram Duffee, PhD, EMT-P, sits down with lead author Eric D. Miller to discuss his team's fascinating findings. This first-of-its-kind study analyzed 104 real prehospital care records. ChatGPT was tasked with generating the most likely diagnosis, which was then compared to the diagnosis made by the treating paramedic. When the two differed, two emergency physicians reviewed the case to determine the more accurate conclusion.Key Findings:• High Accuracy: ChatGPT correctly predicted the diagnosis in approximately 75% of cases.• Conservative Bias: In 46% of disagreements, the AI identified more critical conditions, suggesting it may help reduce under-triage.• Strong Safety Profile: In only one case out of 104 did the AI suggest a potentially inappropriate transport decision.Watch the full interview with Eric D. Miller to understand the nuances of this research. Subscribe for more expert discussions on the future of EMS.Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com If you enjoyed this episode please consider subscribing to EMS Research on YouTube: / @4emsresearchReference: Miller, E. D., Franc, J. M., Hertelendy, A. J., Issa, F., Hart, A., Woodward, C. A., Newbury, B., Newbury, K., Mathew, D., Whitten-Chung, K., Bauer, E., Voskanyan, A., & Ciottone, G. R. (2025). Accuracy of commercial large language model (ChatGPT) to predict the diagnosis for prehospital patients suitable for ambulance transport decisions: Diagnostic accuracy study. Prehospital Emergency Care, 29(3), 238–242.

This fast-paced video explores a long list of the latest research innovations shaping EMS with Bram Duffee, PhD, EMT-P including workplace culture, professional recognition, injury prevention, advancements in cardiac arrest care, and the transformative role of technology in the field.Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com If you enjoyed this episode please consider subscribing to EMS Research on YouTube: / @4emsresearchReferences:Alshehri, A. et al. (2025). Can we identify stroke sub-type without imaging? Medical Engineering & Physics. https://doi.org/10.1016/j.medengphy.2025.104364Feerick, F. et al. (2025). Barriers to paramedic professionalisation: A qualitative enquiry across the UK, Canada, Australia, USA and the Republic of Ireland. BMC Health Services Research. https://doi.org/10.1186/s12913-025-10993-7Gonzalez, J. M. et al. (2025). Enhancing trauma care: Machine learning-based photoplethysmography analysis for estimating blood volume during hemorrhage and resuscitation. Bioengineering. https://doi.org/10.3390/bioengineering12080833Johnston, S. et al. (2025). Why do emergency medical service employees (not) seek organizational help for mental health support?: A systematic review. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph22040629Kamholz, J. C. et al. (2025). Association between organizational culture and emergency medical service clinician turnover. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph22050756Marsh, E. et al. (2025). Profiling paramedic job tasks, injuries, and physical fitness: A scoping review. Applied Ergonomics. https://doi.org/10.1016/j.apergo.2025.104459McWilliam, S. E. et al. (2025). Should anything else be done besides prehospital CPR? The role of CPR and prehospital interventions after traumatic cardiac arrest. The Journal of Emergency Medicine. https://doi.org/10.1016/j.jemermed.2025.02.010Mpody, C. et al. (2025). Racial and ethnic disparities in use of helicopter transport after severe trauma in the US. JAMA Surgery. https://doi.org/10.1001/jamasurg.2024.5678Shekhar, A. C. et al. (2025). Use of a large language model (LLM) for ambulance dispatch and triage. The American Journal of Emergency Medicine. https://doi.org/10.1016/j.ajem.2025.05.004Tagami, T. et al. (2025). The impact of dispatcher-assisted CPR and prior bystander CPR training on neurologic outcomes in out-of-hospital cardiac arrest: A multicenter study. Resuscitation. https://doi.org/10.1016/j.resuscitation.2025.110617Zhou, T. et al. (2025). Racial and socioeconomic disparities in California ambulance patient offload times. JAMA Network Open. https://doi.org/10.1001/jamanetworkopen.2025.10325

The 2025 AHA Guidelines for CPR and Emergency Cardiovascular Care introduce significant updates, including a focus on on-scene resuscitation, cautious use of mechanical CPR devices, and prioritizing IV over IO access. While these changes aim to improve outcomes, they’ve sparked debate among seasoned paramedics like Jimmy Apple, the “EMS Avenger,” who highlights the challenges of implementation.Key Points:• On-Scene Resuscitation: Emphasis on achieving ROSC on scene rather than rapid transport.• Mechanical CPR Devices: AHA advises against routine use, but paramedics argue they’re essential for small or rural teams.• IV vs. IO Access: IV is prioritized, but practicality for resource-limited teams is questioned.• Empowering EMS Providers: Focus on critical thinking, quality compressions, and timely defibrillation.• Cultural Shift: Training crews for compassionate death notifications and clear family communication.Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com If you enjoyed this episode please consider subscribing to EMS Research on YouTube: / @4emsresearch

Epinephrine is a cornerstone of medical cardiac arrest, but does it provide the same benefit in traumatic cardiac arrest (TCA)? Emerging research challenges long-held protocols, suggesting this go-to drug may not be the life-saver we assume it is—and could even cause harm. Host Bram Duffee, PhD, EMT-P, explores a groundbreaking study that could change how we manage these critical patients. This episode unpacks a February 2025 study in Prehospital Emergency Care that analyzed over 1,600 out-of-hospital trauma arrests. The findings were stark: epinephrine was linked to lower survival in blunt trauma and showed no clear benefit for penetrating injuries.Lead researcher Dr. Cordelie Witt shares critical insights on why epinephrine may be counterproductive in TCA:• Physiological Ceiling: Exogenous epinephrine may offer little benefit beyond the body's own sympathetic response to blood loss.• Myocardial Oxygen Debt: It can increase the heart's oxygen demand when coronary blood flow is already minimal, potentially worsening cardiac function.• Arrhythmia Risk: Epinephrine may induce arrhythmias in a heart already struggling.• Worsening Hemorrhage: Raising blood pressure before controlling the source of bleeding may be counterproductive.Watch the full interview with Dr. Witt to understand the science behind these findings. Don't forget to subscribe for more evidence-based discussions.Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice. Always follow your local protocols and medical direction.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com If you enjoyed this episode please consider subscribing to EMS Research on YouTube: / @4emsresearchReference: Witt, C. E., Shatz, D. V., Robinson, B. R. H., Campion, E. M., Shapiro, M. L., Bui, E. H., Meizoso, J. P., & Dorlac, W. C. (2025). Epinephrine in prehospital traumatic cardiac arrest—Life saving or false hope? Prehospital Emergency Care, 1(1), 1–9.

Severe hemorrhage is one of the toughest challenges faced in the pre-hospital environment, especially when every second counts and resources are limited. But a recent study on the use of 25% human serum albumin (HSA) in trauma care could change how responders approach these critical moments. The study was led by United States Army Scientist Alex Penn, Ph.D. The findings from his team suggest that this concentrated protein solution can stabilize blood pressure, reduce the need for additional fluids, and improve circulation in ways traditional methods cannot. For paramedics, this could mean a shelf-stable, easy-to-use solution that saves more lives in the toughest conditions, revolutionizing pre-hospital care as we know it.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Commun... Take part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conf... Stay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the... Connections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com If you enjoyed this episode please consider subscribing to EMS Research on YouTube:    / @4emsresearch  Reference:Penn, A. H., Falabella, M., Sanchez, A., Hernandez, O., McFadden, K., & Hutcheson, J. (2023). 25% Human Serum Albumin Improves Hemodynamics and Prevents the Need for Nearly All Pre-Hospital Resuscitation in a Rat (Rattus Norvegicus) Model of Trauma and Hemorrhage. Shock, 10-1097

Discover the crucial insights behind managing pain in pediatric patients during prehospital care. Join us as we sit down with Dr. Hoi See Tsao, a pediatric emergency medicine expert, to discuss findings from her groundbreaking study, "Barriers and Enablers in Prehospital Pediatric Analgesia."Dr. Tsao sheds light on the unique challenges EMS providers face, from limited experience with pediatric transports and technical difficulties during ambulance rides to parental hesitation and concerns about administering pain medications. With untreated pain in children leading to long-term issues like increased anxiety and fear of future medical care, the stakes couldn’t be higher.Learn about promising solutions, including the use of intranasal fentanyl, an innovative treatment that simplifies pain relief without the need for IV access. Dr. Tsao also shares actionable strategies to improve care, such as enhanced training through high-fidelity simulations, effective communication with parents, and the development of standardized protocols.If you’re an EMS provider, healthcare professional, or someone passionate about pediatric care, this episode offers invaluable guidance on bridging the gaps in prehospital pediatric pain management. Tune in and explore how we can ensure children receive the compassionate, effective care they deserve—even before they reach the hospital.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Take part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/application Stay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-month Connections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com If you enjoyed this episode please consider subscribing to EMS Research on YouTube: https://www.youtube.com/@4emsresearch?sub_confirmation=1Reference:Tsao, H. S., Sutcliffe, T., Wang, C., Vargas, S. E., Day, C., & Brown, L. L. (2024). Barriers and Enablers in Prehospital Pediatric Analgesia. Prehospital Emergency Care, 1–7. 

Join us for an eye-opening interview with Tanner Smida, MD/PhD candidate at West Virginia University, as he dives into his groundbreaking research on the use of amiodarone and lidocaine in cardiac arrest emergencies. Discover how his study, employing the innovative "target trial emulation" methodology, sheds new light on lidocaine's effectiveness in the field. Learn why lidocaine shows higher rates of return of spontaneous circulation (ROSC), improved survival to hospital discharge, fewer required defibrillator shocks, and even better post-ROSC stability compared to amiodarone.Smida discusses the unique challenges of EMS research, explains how confounding factors were addressed to strengthen the findings, and explores the real-world implications for EMS protocols and prehospital care. While cautioning that more research is needed to draw definitive conclusions, this interview highlights the importance of evidence-based practices in improving patient outcomes.Whether you're a paramedic, healthcare provider, or just interested in cutting-edge medical research, this conversation offers invaluable insights into the evolving science of cardiac care and the potential to shape future guidelines. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/applicationStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Tanner Smida please email him at [email protected] and to connect with  the EMS Research Podcast staff check out our website at www.ProfessorBram.com If you enjoyed this episode please consider subscribing to EMS Research on YouTube:     / @4emsresearch

Tegan Mansouri, a Clinical Assistant Professor at the University at Buffalo and registered dietitian, led an eye-opening study titled Eating Patterns Among EMS Providers in the United States: A Qualitative Interview Study (published in Nutrients in 2022). Her research not only highlights the challenges faced by EMS professionals in maintaining healthy eating patterns but also underscores the need for systemic solutions to improve their overall well-being.Understanding the ResearchThe study centered around interviews with 40 EMS providers from diverse settings across the United States, including urban, rural, and backcountry locations, working shifts that spanned from 8-hour schedules to grueling back-to-back 24-hour shifts. These interviews unearthed recurring themes tying eating behaviors to factors such as extreme fatigue, workplace stress, and limited access to nutritious food options due to unpredictable schedules.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Take part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/application Stay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-month Connections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com If you enjoyed this episode please consider subscribing to EMS Research on YouTube: https://www.youtube.com/@4emsresearch?sub_confirmation=1Reference: Mansouri, T., Ghanatios, G., Hatzinger, L., Barich, R., Dampha, E., Temple, J.L., Clemency, B.M. and Hostler, D., (2022). Eating patterns among emergency medical service providers in the united states: a qualitative interview study. Nutrients, 14(22), p.4884.

Navigating the complexities of transporting children in ambulances is no small feat for EMS workers. From safely securing young patients to performing critical interventions like CPR, these tasks become even more challenging due to a lack of universal guidelines. Addressing this pressing issue, Dr. Nick Cochran-Caggiano, an emergency physician and researcher, has illuminated the obstacles faced in pediatric ambulance care through two groundbreaking studies. These studies were the focus of the latest episode of the podcast “EMS Research with Professor Bram,” offering valuable insights for every EMS professional.The Hidden Dangers of Pediatric Ambulance TransportOne of Dr. Cochran-Caggiano’s significant studies, published in Pediatric Emergency Care in 2023, brought to light the widespread issues with securing children during ambulance rides. By analyzing video footage from over 3,000 ambulance arrivals at a pediatric emergency department, the study uncovered concerning statistics:• Only 53.5% of children were transported using safety devices appropriate for their weight. • Improper use of transport restraints occurred in a staggering 77.1% of cases, creating unnecessary risks. • While commercially produced pediatric restraints proved to be the safest choice, half of them were still used incorrectly. • Ambulance stretchers became the default transport method in numerous cases but were only suitable in 18.2% of instances.During an interview, Dr. Cochran-Caggiano described these findings as alarming, attributing much of the problem to inconsistent safety measures. He stressed the need for standardized solutions, saying, “We must have a reliable way to ensure children are transported safely.” He also highlighted a critical gap in EMS practices, pointing out that there’s no effective system for securing a car seat to an ambulance stretcher. Current efforts, he added, feel more like improvisation than robust safety protocols.These revelations underscore the urgency of developing unified guidelines for pediatric transport in emergencies. EMS providers face immense challenges, but consistent safety measures could better protect their most vulnerable patients.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/applicationStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.comIf you enjoyed this episode please consider subscribing to EMS Research on YouTube:https://www.youtube.com/@4emsresearch?sub_confirmation=1

Hennepin EMS in Minnesota took a significant step forward in early 2023 by introducing a dedicated clinical pharmacist consulting role to its operations. This groundbreaking initiative formalizes the integration of clinical pharmacy expertise into prehospital care to address widespread challenges such as drug shortages, innovative medication usage, and stronger collaboration between paramedics and pharmacists.The clinical pharmacist acts as a bridge between hospital and field operations, ensuring prehospital teams have the support they need to improve patient outcomes. A critical part of the pharmacist’s responsibilities includes hands-on engagement. From participating in ambulance ride-alongs to hosting open-door consultations, this role prioritizes practical and actionable solutions. At the heart of this initiative is Holly Drone, PharmD, Hennepin EMS’s clinical pharmacist. Not only has Holly been integral to placing this program into action, but she’s also contributing to the field through her research. Her studies focus on essential topics such as Sodium Nitrate Overdose management, the initiation of Buprenorphine in prehospital settings, and the use of Oral Risperidone by EMS providers in the field.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/applicationStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.comIf you enjoyed this episode please consider subscribing to EMS Research on YouTube:https://www.youtube.com/@4emsresearch?sub_confirmation=1ReferencesGarcia-Galindo, C. A., Pepin, L. C., Olives, T. D., Cole, J. B., Drone, H. M., Jones, G. A., … Robinson, A. E. (2024). Massive Sodium Nitrite Overdose: A Case for Prehospital Methylene Blue. Prehospital Emergency Care, 28(7), 970–974. https://doi.org/10.1080/10903127.2024.2357597Simpson, N. S., Kummer, T. M., Drone, H. M., Perlmutter, M. C., Schin, A. M., Cole, J. B., … Robinson, A. E. (2024). Feasibility and Safety of a Paramedic-Directed Prehospital Buprenorphine Initiation Protocol for Acute Opioid Withdrawal. Prehospital Emergency Care, 1–8. https://doi.org/10.1080/10903127.2024.2422897Simpson, N. S., Schin, A. M., Perlmutter, M. C., Bunting, A. J., Jones, G. A., Drone, H. M., … Robinson, A. E. (2024). Feasibility and Safety of Oral Risperidone to Treat Prehospital Agitation. Prehospital Emergency Care, 1–6. https://doi.org/10.1080/10903127.2024.2361133

When every second counts in a medical emergency like a stroke, deciding on the right course of treatment can be life-changing. Strokes come in two main types—ischemic and hemorrhagic—each requiring very different treatment approaches. But what if a critical intervention, like lowering blood pressure, could be started right there in the ambulance? Could it improve outcomes for stroke patients before they even reach the hospital? Joining the discussion Paramedic Mic Gunderson, and Neurologist David Rose, offer a specialist’s perspective on stroke care. Together, they dissect groundbreaking research and share practical strategies that could transform how strokes are treated in the field. If you’re curious about how ambulances might soon deliver life-saving interventions en route to the ER, don’t miss this episode. Tune in now to gain valuable insights into a topic that could redefine prehospital care. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Commun...Take part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conf...Stay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the...Connections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com ReferencesGunderson, M., & Rose, D. (2024). Not Too High and Not Too Low: The Goldilocks Approach to Prehospital Treatment of Severe Hypertension with Stroke. International Journal of Paramedicine, (8), 10-13. Li, G., Lin, Y., Yang, J., Anderson, C. S., Chen, C., Liu, F., ... & Song, L. (2024). Intensive ambulance-delivered blood-pressure reduction in hyperacute stroke. New England Journal of Medicine, 390(20), 1862-1872.

After 6 doses of Epinephrine it may be too late for the CPR patient. Emergency physicians Dr. Zachary Boivin and Dr. Trent She, both from Connecticut, discussed their recent study entitled "Epinephrine in Cardiac Arrest: Identifying a Potential Limit for Resuscitation." This research sought to determine if there is a ceiling to the effective use of Epinephrine during resuscitation. Peter Antevy, MD who created the Handtevy System, a software-based pediatric resuscitation method and bag system is also an EMS Physician for Palm Beach County Fire Rescue and he made a post on LinkedIn advocating for abolishing Epinephrine in shockable rhythm protocols. He posts about how his protocol does not follow standard AHA guidelines at Palm Beach County Fire Rescue and their plan for ventricular fibrillation is to use Esmolol but no Epinephrine.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/applicationStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.comReferences: Boivin, Z., Duignan, K. M., Doko, D., Pugliese, N., & She, T. (2023). Epinephrine in Cardiac Arrest: Identifying a Potential Limit for Resuscitation. Western Journal of Emergency Medicine, 24(6), 1025. 

Dr. Nigel Barr is a paramedic researcher from Australia and Dr. Bram Duffee is a paramedic researcher from the United States. Together they talk about their individual studies that used qualitative research to better understand the paramedic perspective on COVID-19. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Take part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/application Stay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-month References: Duffee, B. (2023). COVID-19 and paramedic response: Overcategorization concerns in respiratory patients. Journal of Paramedicine and Emergency Response. Available online https://www.airitilibrary.com/Article/Detail/P20210804002-N202311070009-00029 Howarth, U., Zimmerman, P. A., van de Mortel, T. F., & Barr, N. (2024). Paramedics’ experiences of barriers to, and enablers of, responding to suspected or confirmed COVID-19 cases: a qualitative study. BMC Health Services Research, 24(1), 678. Connections: If you want to connect with Dr. Nigel Barr reach out to [email protected] and if you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com 

Dr. Zachary Tillett is a paramedic who works as an ER Physician in Maryland and talks about his new article “Breaking Bad News in the Prehospital Setting: A Guide for EMS Clinicians.”Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/applicationStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthReference: Tillett, Z., Jacobs, S., & Michelle, M. (2024). Breaking Bad News in the Prehospital Setting: A Guide for EMS Clinicians. International Journal of Paramedicine, (6), 163-170.Connections: If you want to connect with Dr Zachary Tillett reach out at [email protected]. If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com

Dr Casey Patrick, an ER and EMS physician from Texas talks about a recent study he helped publish that looked at how successfully surgical cricothyrotomy can be performed by paramedics. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Take part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/application Stay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-month Connections: If you want to connect with Dr Casey Patrick you can catch him at the MCHD Paramedic Podcast https://www.mchd-tx.org/about/the-mchd-paramedic-podcast/  If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com 

In this season finale episode, we talk about mental health in emergency medical services and interview Researcher and Psychologist Jacqueline O'Hagan along with mental health counselor and host of the Enroute podcast Joseph Brigandi.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict/applicationStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-month Connections: If you want to connect with Jacqueline O'Hagan please email [email protected] If you are looking for Joseph Brigandi he can be found at www.FRBHI.com or through the podcast “Enroute” https://youtube.com/@frbhi?si=69HOtTh1MWf_A0S6. If you want to connect with the EMS Research Podcast staff check out our website at www.ProfessorBram.com

 In this episode, we interview Paramedic Jessica Thompson to talk about ambulance services closing in rural areas. The financial struggles faced by EMS providers, coupled with outdated reimbursement rates, have led many to economic collapse, forcing them to reduce staff or halt services altogether. This reduction in services not only impacts the immediate area but also places additional strain on neighboring services, creating a domino effect that worsens response times and stretches resources thin across wider regions.  Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Jessica Thompson you can email [email protected] or to connect with the show, reach out through www.ProfessorBram.com

 In this episode we interview Sarah E. Fabiano, MD who is the new EMS Medical Director for the Journal of Emergency Medical Services who talks about the current EMS landscape in research and practice.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Sarah E. Fabiano, MD she can be reached at [email protected] or to connect with the show, reach out through www.ProfessorBram.com

In this episode we interview JohnRey Hassan, JD, EMT-P who is an EMS attorney that describes the legal and medical frameworks involved with patient death cases involving restraint and sedation.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with JohnRey Hassan, JD, EMT-P  he can be reached at [email protected] or to connect with the show, reach out through www.ProfessorBram.com

 In this episode we interview Will Chapleau, RN, EMT-P from the International PreHospital Medicine Institute about research related to falls.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Will Chapleau, RN, EMT-P at the International PreHospital Medicine Institute can be reached at [email protected] or to connect with the show, reach out through www.ProfessorBram.com

In this episode we interview Brian J. Maguire, Dr.PH, MSA, EMT-P about the serious realities faced by EMS responders, exploring the intricate details of responder injuries and fatalities. Dr. Maguire's insightful 2023 research in Prehospital and Disaster Medicine provides a sobering look at the risks these brave individuals encounter daily, offering valuable perspectives on safeguarding those who are first on the scene to save lives.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Brian J. Maguire he can be reached by email at [email protected] or to connect with the show, reach out through www.ProfessorBram.com

Jacob Hutton, a paramedic researcher from Canada is interviewed about his research article in Resuscitation about how the length of on-scene time affects survival outcomes when EMS get ROSC after CPR. This 2023 article is titled “The association of the post-resuscitation on-scene interval and patient outcomes after out-of-hospital cardiac arrest.”Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Take part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Jacob Hutton he can be reached by email at [email protected] or to connect with the show, reach out through www.ProfessorBram.com

Training EMS for Field Ultrasound is discussed with guest co-host Gordon Johnson who is an Internal Medicine Physician from Portland who published an article in POCUS Journal called “Demonstration of a Longitudinal Medical Education Model (LMEM) Model to Teach Point-of-Care Ultrasound in Resource-Limited Settings.” In this episode, Dr. Johnson leads an engaging conversation with distinguished experts from Norway. We have Dr. Nils Peter Overland, a specialist in Air Ambulance & Anesthesia, and Victoria Vatsvåg, a PhD (c) with expertise in Ultrasound. Tune in as we explore the intersection of paramedic training, point-of-care ultrasound, and resource-limited settings.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with guests from todays show Gordon Johnson [email protected], or Victoria Vatsvaag [email protected], or Nils Petter Oveland [email protected] can be reached by email or to connect with the show, reach out through www.ProfessorBram.com

This vlog and podcast reviews an article in JEMS by Flight Paramedic Ashley Buie about Neuroprotective CPR.Article discussed: Buie, A. (2023, July 25). Neuroprotective CPR. Journal of Emergency Medical Services JEMS. Available at https://www.jems.com/patient-care/neuroprotective-cpr/Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Ashley Buie, FP-C email [email protected] or to connect with the show, reach out through www.ProfessorBram.com

This vlog and podcast reviews research in prolonged field care with Aebhric O’Kelly from the College of Remote and Offshore Medicine Foundation.Article discussed: O'Kelly, A., & Mallinson, T. (2023). Prolonged field care (austere emergency care) principles in UK paramedic practice. Journal of Paramedic Practice, 15(9), 359-366.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Aebhric O’Kelly you can reach him at CoROM.edu.mt and to connect with the show, reach out through www.ProfessorBram.com

This vlog and podcast reviews RSI research related to paramedics with nurse anesthetist Penny Chiasson who is also a hypnotherapist with Genesis Hypnosis.Article discussed: Alzaatreh, M. Y., Alsadi, M. R., Alkhsealat, Y., Alhemedi, M., & Alrabab’a, M. H. (2022). Pre-hospital rapid sequence induction by paramedics: A scoping review. Journal of Emergency Medicine, Trauma & Acute Care (5) 40.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Penny Chiasson you can reach her at [email protected] and to connect with the show, reach out through www.ProfessorBram.com

This vlog and podcast discusses the latest research in EMS bleeding control with Will Chapleau who is a paramedic, nurse, educator, and writer.Article discussed: IPMI. (October 1, 2023). International Prehospital Medicine Institute Literature Review, October 2023. Journal of Emergency Medical Services. https://www.jems.com/patient-care/international-prehospital-medicine-institute-literature-review-october-2023/Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Will Chapleau you can reach him at [email protected] and to connect with the show, reach out through www.ProfessorBram.com

This vlog and podcast discusses hypoglycemia research and practice in EMS with Eric Chase who is a comedian, paramedic, and educator.Article discussed: Li, J. (2023, September 6). Article Bites: Is it safe to treat and release patients with hypoglycemia? In EMS1 after previously being printed by NAEMSP. https://www.ems1.com/clinical/articles/article-bites-is-it-safe-to-treat-and-release-patients-with-hypoglycemia-kW8qSa42duVEduot/Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictStay up to date: Review the most recent research in EMS through the monthly article reviews put out by the International PreHospital Medicine Institute https://iphmi.com/ems-articles-of-the-monthConnections: If you want to connect with Eric Chase you can reach him at https://www.emsimprov.com/ and to connect with the show, reach out through www.ProfessorBram.com

This vlog and podcast discusses “call jumping” in rural EMS with Latimer Hoke, M.Ed, NR-AEMT who is a first responder and educator.Article discussed: Hoke, L. (2023, August 22). Not Truly Off-Duty: True ‘First’ Responders in Rural Areas. Journal of Emergency Medical Services. https://www.jems.com/operations/not-truly-off-duty-true-first-responders-in-rural-areas/Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictConnections: If you want to connect with the Latimer Hoke you can reach him at [email protected] and to connect with the show, reach out through www.ProfessorBram.com

This vlog and podcast interviews Jamie Kennel, PhD, EMT-P who is a Professor at the Oregon Institute of Technology. He talks about the research he conducted into racial, ethnic, and socioeconomic disparities when looking at pain management for patients treated by EMS.Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsTake part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflictConnections: If you want to connect with Jamie Kennel, [email protected] or to connect with the show, reach out through www.ProfessorBram.com

This vlog and podcast discusses the role of media in disaster management by relating recent disasters to a 2023 article by Derrick Tin and Gregory Ciottone presented in the journal Prehospital and Disaster Medicine. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Take part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict Connections: If you want to connect with the show, reach out through www.ProfessorBram.com 

This vlog and podcast discusses fatigue management in emergency medical services with Matthew McElhenie, DPA, EMT-P who is the General Manager for Cambria Community Services District who talks about his dissertation research “Fatigue Risk Management in Privately Contracted Ambulance Services: A Countermeasures Approach” Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Take part in research: If you are a first responder who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict Connections: To connect with todays guest Matthew McElhenie, [email protected] and if you want to connect with the show, reach out through www.ProfessorBram.com 

This vlog and podcast discusses about the work and family conflict experienced by paramedics during COVID 19. With us is Rawan Tawalbeh, PhD, RN, EMT-P, Director of Education, California School of Health Sciences to talk about her dissertation research. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsBig stuff in EMS right now: “Honorable But Broken: EMS in Crisis” Connect with this documentary webpage for donations and more information www.4giving.com/340F or on Facebook and Instagram #honorablebutbroken or on Twitter #honorablebrokenTake part in research: If you are a paramedic who lives in the United States and would be open to an interview for a research study please connect with Bram Duffee by going to the website https://bduffee0.wixsite.com/ems-conflict Connections: To connect with todays guest Rawan Tawalbeh, Director of Education, California School of Health Sciences, email [email protected] and if you want to connect with the show, reach out through www.ProfessorBram.com 

This vlog and podcast discusses venom research and interviews Dr. Spencer Greene who is a Medical Toxicologist and Director of Toxicology at HCA Houston Healthcare – Kingwood and Clinical Professor at the University of Houston College of Medicine. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. Click the link below for 20% off plus free shipping https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsBig stuff in EMS right now: “Honorable But Broken: EMS in Crisis” Connect with this documentary webpage for donations and more information www.4giving.com/340F or on Facebook and Instagram #honorablebutbroken or on Twitter #honorablebrokenConnections: If you want to reach todays guest you can reach Dr. Spencer Green through Bayou City Medical Toxicology and Emergency Medicine Consultants by going to  www.BayouCityMedicalToxicology.com and if you want to connect with the show, reach out through www.ProfessorBram.com  

This vlog and podcast discusses a new book about how EMS can take advantage of hypnosis training. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. Click the link below for 20% off plus free shipping https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Big stuff in EMS right now: “Honorable But Broken: EMS in Crisis” Connect with this documentary webpage for donations and more information www.4giving.com/340F or on Facebook and Instagram #honorablebutbroken or on Twitter #honorablebrokenConnections: If you want to reach todays guest Four Arrows please see his website at www.FourArrowsBooks.com and if you want to connect with the show, reach out through www.ProfessorBram.com 

This vlog and podcast reviews the 2023 doctoral dissertation of (Nina) Christine Beresford DSocSci, ACP titled Narrative Inquiry into Emergency Medical Services Organizational Culture and Traumatic Experiences. Nina lives in Canada and is a graduate of Royal Rhodes University and an Advanced Care Paramedic with Lakeside EMS. Call for research participants: Are you a paramedic who lives in the United States and can participate in a recorded interview? Fill out the application and consent form at https://bduffee0.wixsite.com/ems-conflict or by going to www.ProfessorBram.com and clicking on the current research tab. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. Click the link below for 20% off plus free shipping https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Big stuff in EMS right now: “Honorable But Broken: EMS in Crisis” Connect with this documentary webpage for donations and more information www.4giving.com/340F or on Facebook and Instagram #honorablebutbroken or on Twitter #honorablebrokenConnections: If you want to reach todays guest you can reach her at [email protected] and if you want to connect with the show, reach out through www.ProfessorBram.com 

This vlog and podcast reviews the topic of quantitative research in EMS with an interview with Jack Yu-Tung Chang who is a paramedic and researcher from Taiwan. Also features an interview with Producer Bryony Gilbey who introduces the new documentary “Honorable But Broken: EMS in Crisis.”“Honorable But Broken: EMS in Crisis” Connect with this documentary webpage for donations and more information www.4giving.com/340F or on Facebook and Instagram #honorablebutbroken or onTwitter #honorablebrokenTSP2023 International Conference on Medical Assistance and Emergency Response invites active participation from the academic community! The conference will be held on September 23-24, 2023, focusing on the theme of medical assistance and emergency response. We offer both poster and oral presentations, and selected research will be published in the International Journal of Paramedicine and Emergency Response (JPER). Outstanding presenters will receive cash prizes and certificates. For more details, please visit the official website listed below for you: https://reurl.cc/zYALl6. Call for research participants: Are you a paramedic who lives in the United States and can participate in a recorded interview? Fill out the application and consent form at https://bduffee0.wixsite.com/ems-conflict or by going to www.ProfessorBram.com and clicking on the current research tab. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. Click the link below for 20% off plus free shipping https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-Settings Connections: If you want to find out more about todays guest you can email him at [email protected] or watch his podcast https://player.soundon.fm/p/cebbee40-742c-4351-8434-717bf1719d9b?fbclid=IwAR1b8Pe61FLU40UA3HXGWfonxfXHInZmpQGzjXdgOrjUUFpygIYN-wB5yaU and if you want to connect with the show, reach out through www.ProfessorBram.com 

This vlog and podcast reviews many studies including the 2023 study: “A Proposed Theoretical Framework for Clinical Judgment in EMS” conducted by Mihaiela Gugiu and others that was commissioned by the National Registry of Emergency Medical Technicians and printed in Prehospital Emergency Care. Call for research participants: Are you a paramedic who lives in the United States and can participate in a recorded interview? Fill out the application and consent form at https://bduffee0.wixsite.com/ems-conflict or by going to www.ProfessorBram.com and clicking on the current research tab. Book announcement: Bram Duffee is a co-author of the latest book about how hypnosis has the potential to revolutionize medical care for those struggling with emergency / acute distress. Hypnotic Communication in Emergency Medical Settings: For Life-Saving and Therapeutic Outcomes demonstrates how hypnotic communication has the potential to improve patient outcomes in emergency care, integrating insights on the connection between mind and body for paramedics and other first responders. Click the link below for 20% off plus free shipping https://routledge.pub/Hypnotic-Communication-in-Emergency-Medical-SettingsBig stuff in EMS right now: “Honorable But Broken: EMS in Crisis” Connect with this documentary webpage for donations and more information www.4giving.com/340F or on Facebook and Instagram #honorablebutbroken or on Twitter #honorablebrokenTSP2023 International Conference on Medical Assistance and Emergency Response invites active participation from the academic community! The conference will be held on September 23-24, 2023, focusing on the theme of medical assistance and emergency response. They offer both poster and oral presentations, and selected research will be published in the International Journal of Paramedicine and Emergency Response (JPER). Outstanding presenters will receive cash prizes and certificates. For more details, please visit the official website https://reurl.cc/zYALl6. Connections: If you want to connect with the show, reach out through www.ProfessorBram.com