Bram Duffee

Doctorate

Bram Duffee

Paramedic
United States

Doctorate Title: High-stress, high-consequence emergency medical decision-making: Paramedics seeking a differential diagnosis.

Doctorate Description: Abstract: This study interviewed 20 paramedics from across the United States to better understand the highest stress moment of high-consequence decision-making paramedics regularly face. This heightened stress is described by participants to understand it from a phenomenological perspective. Then participants were asked to tell a story, based on a prompt, by going into detail describing an emergency case from the time they received the alarm until the moment they formulated the differential diagnosis. Each story was evaluated for key indicators that led to the paramedic participant determining the differential diagnosis. 9 out of 11 categories are found to be consistent with reflecting Dual Process Theory. As mental models continue to evolve as new experiences occur, late-career paramedics can make quicker assessments than their newer co-workers. In turn, they make intuitive decisions that have been shown to be more effective.

Details:

Type: PhD
University: Fielding Graduate University
Primary Supervisor: Dr Miguel Guilarte
Category: Professional Development
Funding:
Start Date: 2019
End Date: 2022
Status: Complete

Research Interests

Paramedic related: Emergency Hypnosis, Communication, Stress, Decision making, Conflict.

Publications

Jacobs, D.T., & Duffee, B. (2023). Hypnotic communication in emergency medical settings: For life-saving and therapeutic outcomes. Routledge. 

Duffee, B. (2023, April 13). Book Review of ‘Introducing, Designing and Conducting Research for Paramedics’ Journal of Emergency Medical Services, JEMS Available online https://www.jems.com/training/introducing-designing-conducting-research-paramedics/

Duffee, B. (2022, November 5). Prioritizing the aspects of an obese patient: An American bariatric ambulance response. Poster presentation presented at the Taiwan Society of Paramedicine annual conference. Available online https://drive.google.com/file/d/100guo4I52MBtf2oYOCwUpFqQgsdMp8tl/view?usp=share_link

Duffee, B. (2022, September 8). ‘Quiet Quitting’ is incompatible with EMS. Journal of Emergency Medical Services, JEMS Available online https://www.jems.com/patient-care/quiet-quitting-is-incompatible-with-ems/

Duffee, B. (2022). High-stress high-consequence emergency medical decision making: Paramedics seeking a differential diagnosis. (Doctoral Dissertation, Fielding Graduate University). Available from ProQuest Dissertations & Theses Global. https://www.proquest.com/docview/2718154892

Mancini, D., McEldowney, J., Korinek, D., Duffee, B., Powell, S. (2012). Introduction to communication (2nd ed.). Schaumburg, IL: Words of Wisdom. ISBN# 978-1-934920-64-0 

Mancini, D., McEldowney, J., Korinek, D., Duffee, B., Powell, S. (2011). Introduction to communication. Schaumburg, IL: Words of Wisdom. ISBN# 978-1-934920-55-8 

Duffee, B., & Bardhan, N.R. (2007, November). Incongruent perceptions: The paramedic in 
conflict with the emotionally charged bystander. Paper presented at the annual meeting of the NCA 93rd National Communication Association Convention, Health Communication Division, Chicago, IL. 

Duffee, B. (2002). Incongruent perceptions and training styles: The paramedic in conflict with the emotionally charged bystander. (Master’s Thesis, Southern Illinois University). https://opensiuc.lib.siu.edu/theses/3020

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