EMS Research with Professor Bram
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
EMS Research with Professor Bram
Rethinking CPR in Trauma: Insights from a Groundbreaking Study on Hemorrhagic Shock
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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-Settings
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: / @4emsresearch
Reference: 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.