Psychological Emergency Communication and Management with Bram Duffee

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Tonight we have Bram Duffee PhD, EMT-P on to talk about critical incident stress and management of psychological emergency communication. Bram is a paramedic, professor, author, and podcaster. He’s most recently written the book “Psychological Emergency Communication and Care by First Responders” along with Joseph Brigandi, MD, M.Ed., NCC, LPC-S.

You can reach out to Bram at ProfessorBram.com.

The episode included our disaster emergency management expert, Becky DePodwin and was co-hosted by Sam Bradley and Jamie Davis.

Scroll down for Podcast Discussion Summary

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Thank you as always to Paragon Medical Education Group for their long-term support of the Disaster Podcast. Dr. Joe Holley and the team at Paragon continue to provide excellent and customized disaster response training to jurisdictions around the U.S. and internationally as well.

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Podcast Discussion Summary

Psychological Emergency Communication Book Discussion

Bram discussed his recent book “Psychological Emergency Communication and Care by First Responders,” which he co-authored with Joseph Bergondi, a counselor and psychotherapist. Bram shared his background as a 30-year paramedic in Houston and a communications professor at Kennesaw State University in Georgia. The group also discussed Bram’s podcast focused on EMS research and plans to potentially connect Bram with Dr. Joe in the future to discuss research topics.

Psychological Emergency Response Guide

Sam and Bram discussed a practical guide for navigating psychological emergency situations designed for first responders including police officers, firefighters, paramedics, EMTs, dispatchers, and lifeguards. Bram explained that while first responders receive basic training in psychology, they often lack extensive expertise in this area and tend to categorize patients rather than understanding their underlying issues. The book, co-authored by Bram and Joseph Bergandi, aims to help first responders better communicate with psychological patients by teaching them about these issues while emphasizing that their role is to observe, manage risk, and neutralize situations rather than diagnose.

Psychiatric Emergency Response Training

Bram and Sam discussed the challenges of managing psychiatric emergencies in first responder situations, emphasizing the need for better communication training. Bram highlighted that current national standard curricula lack sufficient focus on psych patient care and suggested increasing training requirements for communication skills in emergency medical services. He also noted the importance of training for police officers and firefighters who often encounter psychiatric emergencies, advocating for the inclusion of communication skills alongside other technical training.

Continuing Education Programs for Responders

Jamie asked about examples of systems with robust continuing education programs for responders to build communication skills. Bram responded that some systems have psych response teams, including Harris County, Texas, but noted these teams typically aren’t the first line of contact during emergencies, with police officers often being the initial responders.

Psychological First Aid Strategies

Bram discussed his approach to psychological first aid, emphasizing the nocebo effect and the importance of using positive language to help traumatic situations. He explained strategies for working with psych patients, including having a single leader, validating patients’ experiences, and leveraging grandiosity. Bram also mentioned his book, which provides tips and phrases for different emergency responders and includes a glossary of psychological conditions aligned with DSM-5 standards.

Naloxone Administration and Responder Burnout

The discussion focused on naloxone administration in overdose cases, where Bram shared his experience as a paramedic, explaining that not all patients need to be fully revived and there are risks of causing delirium or violence when patients wake up suddenly. Bram discussed responder burnout, attributing it to both personal accountability issues and inadequate management training, particularly highlighting the need for managers to develop proper leadership skills. The group agreed to have Bram return for a future episode to discuss disaster management and large-scale incident response, as this topic was not fully covered in the current conversation.

Wrap up and updates

The team went through contact information and the team encouraged listeners to stay safe. The group discussed the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group.