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...
All content for EMS Research with Professor Bram is the property of Bram Duffee and is served directly from their servers
with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
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...
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...
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 f...
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 ...
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 req...
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 ...
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...
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, en...
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...
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 ...
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 M...
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 commu...
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 hypno...
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 The...
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 res...
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 demonstra...
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 hypn...
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...
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 lates...
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 stru...
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,...
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...
