Join Bram Duffee, a paramedic and researcher with over 20 years of experience in critical care and 911, as he explores the latest research in emergency medicine...
Prehospital Blood Pressure Intervention for Acute Stroke
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.
--------
42:41
Beyond Epinephrine: The Future of CPR with Ultrasound and Esmolol
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.
--------
30:17
Paramedic Perspectives on COVID Through Qualitative Research
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
--------
40:54
Death Talk from the Paramedic
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
--------
52:06
Paramedic performance in a high-stress surgical airway event
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
Join Bram Duffee, a paramedic and researcher with over 20 years of experience in critical care and 911, as he explores the latest research in emergency medicine and paramedicine. Each episode of "EMS Research with Professor Bram" features an in-depth discussion, as well as an analysis of new studies and their implications for paramedics. As a PhD researcher and paramedic, Bram brings a unique perspective to the podcast. His expertise and experience allow him to break down complex concepts and make them accessible to listeners. Whether you're an experienced paramedic looking to stay up-to-date on the latest research or someone interested in learning more about emergency medicine, "EMS Research with Professor Bram" is the perfect podcast for you.Host biography: Bram Duffee has authored 2 books on communication. With over two decades of experience as a paramedic (since 1998), his roles have included 911 and critical care, along with operations management for both 911 and private companies. He has taught over 60 university-level courses in Interpersonal Communication, Leadership, Organizational Behavior, and more. He currently serves as a full-time paramedic in Houston and is an Advisory Board Member for the National Association of Medical Emergency Technicians of Portugal. He also holds a research appointment as an Institute for Social Innovation Fellow with Fielding Graduate University. Refer to links: http://www.ProfessorBram.com http://www.youtube.com/@4EMSresearch https://www.facebook.com/profile.php?id=100087933902422&mibextid=ZbWKwL https://www.linkedin.com/in/bramduffee