EMS Research with Professor Bram

• 🪖🪖Severe Hemorrhage Technology Developed by Army Researchers

  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

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• 💥Breaking Barriers in Pediatric Pain Management 👶

  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. 

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• ❤️Lidocaine vs. Amiodarone: Groundbreaking Cardiac Arrest Study Explained 🙌

  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

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• 🍕Eating Patterns in EMS Work 🍽

  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.

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• 👶 Moving Towards Safer Pediatric Transport Care in EMS 🚑

  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

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