EMS Research with Professor Bram

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...

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 Research

The 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...

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 Transport
One of D...

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, th...

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 st...

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 s...

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 c...

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 othe...

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 b...

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...

 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 ca...

 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 p...

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...

 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-Settings

Take part in r...

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...

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 pati...

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 annou...

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...

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...

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 ho...

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...

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...

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...

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...

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 t...

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 im...

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, i...

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 ins...

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 p...

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 t...

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 #honorablebroken

TSP2023 International Conference on Medical Assistance and Emergency Response invites active participation from the academic community! The conference will be...

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.

B...