Disaster Podcast

Kurt Bramer from Advanced CPR Solutions comes back for a final look at Head-Up CPR as we pull all the pieces from the earlier four episodes together. Dr. Joe Holley is back to bring in the latest research into the process as well. We will tie all this back to the global health disaster that is sudden cardiac arrest. Recent research from across the emergency medical community has pointed to impressive improvements in both return of spontaneous circulation (ROSC) as well as survival to discharge and neurologically intact survival when compared to conventional supine CPR performance. We’ll have links below to some of those studies and papers. Research Bibliography for Head-Up CPR Studies The episode is co-hosted again by our regular hosts, Sam Bradley and Jamie Davis. Elevated CPR Series Episode One Elevated CPR Series Episode Two Elevated CPR Series Episode Three Elevated CPR Series Episode Four CARES Registry for Cardiac Arrest Stats Follow up on more of these segments as we continue to look at the current research trends in future episodes and what is on the horizon for the future. The episode was co-hosted by Sam Bradley and Jamie Davis. Scroll down for Podcast Discussion Summary 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. Podcast Discussion Summary Head-Up CPR Research Update Jamie and Sam discussed the upcoming podcast episode, which will focus on wrapping up the last four episodes about head-up CPR and recent research. They mentioned the challenges of implementing new approaches in rural systems with volunteer staff. Sam noted that Dr. Joe and Kurt Bramer have been working on presenting the information in a way that can be applied responsibly. Joe briefly mentioned that SENA teams were activated to assist with floods in Seattle. The main focus of the episode will be on the latest data on head-up CPR, including improved physiology, survival rates, and neurological function, particularly for non-shockable rhythms like asystole. Advantages of Head-Up CPR Studies Sam, Kurt, and Joe discussed the significance of two seminal studies on head-up CPR. The 2016 preclinical animal study showed significant improvement in perfusion when compared to standard CPR, with a synergistic effect when using additional devices like the ITD and suction cup. The 2022 independent registry analysis demonstrated that head-up CPR resulted in a five times greater likelihood of neurologically intact survival compared to conventional CPR, even up to 20 minutes post-cardiac arrest. Joe explained that the bundled care approach for cardiac arrest patients involves multiple components, including appropriate ventilation, high-quality CPR, and post-resuscitation care, all of which contribute to improved outcomes. Bystander CPR System Implementation The discussion focused on the importance of proper implementation of bystander CPR, AEDs, and advanced techniques like impedance threshold devices and suction cup CPR to improve patient outcomes, particularly neurologic ones. Kurt emphasized the need for a system-wide approach, from first responders to hospital care, highlighting successful partnerships like Louisville’s, where continuity of care is prioritized. Jamie inquired about best practices for implementing this system-wide approach, to which Kurt responded with examples from different regions, noting that while ideal partnerships exist, proactive agencies can still achieve good outcomes even with less supportive hospitals. Cardiac Arrest Resuscitation Bundle Implementation The team discussed the importance of addressing multiple aspects of cardiac arrest resuscitation simultaneously, as highlighted by Joe, who emphasized that successful outcomes require implementing all elements of the care bundle equally. Jamie inquired about training approaches, to which Joe responded that effective training involves both initial instruction and ongoing feedback through quality improvement processes, stressing that successful resuscitations require adherence to the entire bundle rather than just some components. Prioritizing Tasks in Resuscitation Joe and Kurt discussed the importance of prioritizing tasks during resuscitation, emphasizing the need to focus on the overall process rather than individual steps. They highlighted the benefits of the Head-Up CPR model, which organizes priorities and reduces chaos during medical emergencies. Kurt explained that this method allows for more efficient and coordinated delivery of therapies, leading to better patient outcomes. Head-Up CPR Survival Benefits The group discussed two significant studies on CPR techniques. Kurt presented findings from a 2023 preclinical study showing that early administration of head-up CPR resulted in a 40% 24-hour survival rate compared to 9% for delayed conventional CPR. Joe highlighted an observational study from 2024 showing that head-up CPR improved survival rates for non-shockable rhythms from 2.8% to 7.6%, representing a nearly 3-fold improvement. Both studies suggested that head-up CPR could significantly enhance survival chances, particularly when administered early. Non-Perfusible Rhythm Blood Flow Method The group discussed a new methodology for perfusing patients with non-perfusible rhythms, which allows for continued blood flow and preserves neurological status. Joe explained that this could open up windows for interventions like ECMO or cardiac catheterization while CPR is underway. Kurt shared anecdotal evidence from agencies that have gained confidence in staying longer during arrests, leading to increased rates of ROSC in non-shockable rhythms. The group also touched on the importance of proper ventilation during CPR, with Joe highlighting the lack of focus on this aspect in many clinical trials. Head-Up CPR Survival Benefits Joe explained the concept of pressure-volume loops in CPR, demonstrating that head-up CPR generates greater blood flow and pressures compared to standard CPR. Kurt presented data from two studies comparing outcomes between CARES and head-up CPR data, showing improved survival rates for head-up CPR patients over one and five-year periods. The research suggests that head-up CPR may lead to better patient outcomes, though these findings were not included in the 2025 American Heart Association guidelines. Cardiac Arrest Economic Impact Discussion The group discussed the economic impact of cardiac arrests, with Kurt noting that the total cost per person in the US is approximately $4,000 annually, highlighting the need for improved resuscitation techniques. Jamie emphasized the importance of community contributions from survivors, while Joe provided recommendations for enhancing CPR quality, including the use of the Lucas 3.1 device with its enhanced lift feature and avoiding overly tight cervical collars during CPR to maintain blood flow. Improving Sudden Cardiac Arrest Response The meeting focused on sudden cardiac arrest, emphasizing its global impact as a leading cause of death. Kurt and Joe discussed the need for first response agencies and emergency managers to explore research and improve care delivery to enhance patient survivability. Joe highlighted the importance of understanding the physiology of cardiac arrest and considering new approaches, as current CPR methods have not changed in 50 years. Jamie suggested applying disaster management strategies to sudden cardiac arrest to improve outcomes. Joe mentioned upcoming procedural cadaver labs and ongoing work on superglottic studies and new airway management tools. Kurt provided contact information for further discussions and was invited to return for future updates on research. Podcast Series Conclusion and Future Plans The group discussed the conclusion of a podcast series on medical topics, with Kurt expressing gratitude for the opportunity to share his message and Jamie inviting him back for future episodes. They agreed to continue the conversation on social media and the Disaster Podcast website, with Kurt planning to draft questions for potential CEU credits. The group the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Catch the full episode using the player above or on your favorite podcast platform, and don't forget to subscribe to the Disaster Podcast for weekly insights from leaders in disaster response and research!

Kurt Bramer from Advanced CPR Solutions returns again this week to continue the series on Head-Up CPR and other promising sudden cardiac arrest treatments. There are three previous episodes in this series. Elevated CPR Series Episode One Elevated CPR Series Episode Two Elevated CPR Series Episode Three After the severe weather update from disaster meteorologist Dan DePodwin, the Disaster Podcast team focuses on the science and physiology of Head-Up CPR. They ask why this approach provides for better protection of neurological function during a cardiac arrest. Dr. Joe Holley does an excellent job of describing the specific concepts of pressure gradients in blood flow to and from the heart during CPR in various patient positions. Kurt outlines what he calls the Four Rules of Head-Up CPR that are essential components for successful resuscitation during cardiac arrest treatment. These rules come from Dr. Joanna Moore’s Editorial The Do’s and Don’ts of Head Up CPR: 1) Use of Suction Cup CPR and an ITD 2) A Priming Period is Needed 3) Cannot Lift the Patient Too High 4) You Cannot Lift the Patient Too Quickly CARES Registry for Cardiac Arrest Stats Follow up on more of these segments as we continue to look at the current research trends in future episodes and what is on the horizon for the future. The episode was co-hosted by Sam Bradley and Jamie Davis. Scroll down for Podcast Discussion Summary 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. Podcast Discussion Summary Episode Opening segment and Weather update The meeting began with a discussion about travel weather for the country and record cold in many parts of the upper midwest and northeast with Dan DePodwin. The group then transitioned to their main topic, the physiology of CPR, with Dr. Joe Holley focusing our attention on the specific anatomy and process inside the body during CPR. Head-Up CPR Techniques Discussed Kurt and Joe discussed the importance of adhering to the “four rules” of head-up CPR, which were derived from a published editorial by Dr. Moore. They emphasized that studies showing no improved outcomes often violate these rules, highlighting the significance of proper technique. Jamie Davis, the host of the Disaster Podcast, introduced the episode, which would focus on the science and physiology of elevated CPR, while Sam and Dan briefly discussed the early winter weather conditions across the United States. Head-Up CPR Research Advances The discussion focused on head-up CPR, a novel research advancement in resuscitation aimed at improving neurologic survival. Kurt explained its origins, highlighting a case study involving a ski hill cardiac arrest patient who survived due to an elevated head position, which was later recognized as a critical factor. The conversation also touched on a study conducted in South Korea, where researchers developed a modified EMS stretcher to accommodate patients in high-rise buildings with small elevators, leading to the question of the optimal CPR position. Initial findings from animal studies suggested that a head-up position could reduce intracranial pressure, potentially improving outcomes during CPR. CPR Physiology and Blood Flow Joe explained the physiology of CPR, focusing on how differences in pressure inside the body create blood flow. He described how chest compressions increase intrathoracic pressure, pushing blood towards the brain and other areas of lower pressure. He emphasized that over-ventilation and incomplete chest recoil can be detrimental during CPR, as they prevent blood from flowing back into the heart. He also noted that patients who exhibit “guppy breathing” during resuscitation have a better chance of successful resuscitation. CPR Vacuum Technology and Physiology Joe explained the physiology of blood flow during CPR, focusing on the importance of preload and the manipulation of pressure differences between the thoracic cavity and the brain. He described how the ITD16 device creates a vacuum in the chest to enhance blood flow to the brain and reduce intracranial pressure. Joe also discussed the concept of “head-up CPR,” which combines enhanced vacuum with gravity assistance to improve blood flow and neuroprotective outcomes. Head-Up CPR Techniques and Safety Sam and Kurt discussed the importance of using proper equipment and techniques for head-up CPR, as outlined by Dr. Joanna Moore’s “four rules.” Kurt emphasized that suction cup CPR in conjunction with an ITD or rescue pod is crucial for effective and safe head-up CPR. He also stressed the need for a priming period, avoiding excessive head elevation, and slow head-up positioning to prevent blood from draining from the head faster than CPR can pump it back in. Kurt noted that studies claiming head-up CPR doesn’t work often violate these rules, highlighting the significance of adhering to the correct procedures. Head-Up CPR: A Novel Approach The team discussed the importance of proper technique in head-up CPR, emphasizing that it requires a bundled care approach with specific parameters to be effective. Joe and Kurt shared a case study of a retired fire chief who successfully underwent head-up CPR, highlighting the potential benefits of this novel approach. The discussion also touched on the concept of using a combination of therapies in resuscitation, similar to the drug cocktail approach used in treating HIV. Success Stories in Advanced CPR The meeting focused on sharing and discussing remarkable cases of successful CPR, particularly highlighting the concept of “head-up” CPR, which has shown improved outcomes. Kurt and Joe shared several stories of patients who experienced significant neurologic recoveries after cardiac arrests, with survival rates and recovery rates significantly higher than national averages. The discussion emphasized the potential of advanced CPR techniques to improve survival and neurologic outcomes, with Joe noting that two of his services have seen similar success rates. The group the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Catch the full episode using the player above or on your favorite podcast platform, and don't forget to subscribe to the Disaster Podcast for weekly insights from leaders in disaster response and research!

We are joined by Kurt Bramer from Advanced CPR Solutions again this week to continue the series on Heads Up CPR and other promising sudden cardiac arrest treatments. He and Dr. Joe Holley kicked off the discussion in two previous episodes. Elevated CPR Series Episode One Elevated CPR Series Episdoe Two We open this week’s episode with a holiday severe weather update from our disaster meteorologist, Dan DePodwin. He reports on several storm systems that will impact Thanksgiving holiday travel across the eastern half of the country. Following that update, we kick off episode 3 of our heads-up CPR series with a look at the long history of the evolutionary changes to cardiac arrest treatment. Kurt Bramer from Advanced CPR Solutions leads off with a response to some comments to the first two episodes in this series. A few listeners worried that we might sound like we were criticizing the individual responders on cardiac arrest calls over the low survival rates for the condition. The team made a joint statement that no criticism of providers in the field was intended. We all are providers ourselves and are merely commenting on the results that everyone has been getting in response to treating cardiac arrest. Some systems do better with resource management than others, but even those areas fail to save even a simple majority of their cardiac arrest patients. CARES Registry for Cardiac Arrest Stats Follow up on more of these segments as we continue to look at the current research trends in future episodes and what is on the horizon for the future. The episode was co-hosted by Sam Bradley and Jamie Davis. Scroll down for Podcast Discussion Summary 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. Podcast Discussion Summary CPR Challenges and Future Improvements The meeting began with a discussion about travel weather for the Thanksgiving weekend, with Dan DePodwin warning of widespread lake effect snow in the eastern United States and a potential ground blizzard in the Dakotas and Minnesota. The group then transitioned to their main topic, CPR, where Joe clarified that their previous discussion about CPR’s limitations was not meant to criticize CPR providers, but rather to highlight the challenges and lack of progress in the field over the past 50 years. They planned to explore potential improvements to CPR in future episodes. Advancements in CPR Techniques Kurt Bramer, with 40 years of experience in EMS and emergency management, discussed the history of CPR, highlighting its evolution from mouth-to-mouth resuscitation to modern techniques. He emphasized the need for better tools and more effective methods for emergency responders, as current practices are often based on outdated or insufficiently tested techniques. The group acknowledged that while responders are doing their best with limited tools, recent research may lead to positive changes in CPR practices. They also touched on the introduction of high-performance CPR in the 2010s, which aimed to maximize the effectiveness of current technologies and minimize detrimental pauses during resuscitation efforts. Mechanical CPR Guidelines Review The discussion focused on the American Heart Association’s recent guidelines regarding mechanical CPR, which recommend against routine use but allow for exceptions like transport scenarios. Kurt and Joe highlighted that the guidelines lump together different types of mechanical compressors, ignoring their unique physiological effects and training limitations. They emphasized that current research primarily focuses on patient survival as an endpoint, which may not fully capture the benefits of mechanical CPR, such as improved blood flow and reduced pauses during resuscitation. The conversation also touched on the importance of considering neurological outcomes beyond mere survival and the need for better training on integrating mechanical devices into overall cardiac arrest management. Bundle Care Approach in Resuscitation The group discussed the bundle of care approach in resuscitation, focusing on the use of multiple therapies simultaneously to improve patient outcomes. Kurt and Joe highlighted the success of the ITD (Impedance Threshold Device) when used with high-quality CPR, leading to a 50% increase in one-year survival. They also noted that only a small percentage of resuscitation guidelines are supported by randomized control trials, emphasizing the challenges in interpreting research data. The group discussed the importance of disaster preparedness and the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Catch the full episode using the player above or on your favorite podcast platform, and don't forget to subscribe to the Disaster Podcast for weekly insights from leaders in disaster response and research!

Kurt Bramer from Advanced CPR Solutions comes back on the show this week to continue the series on Heads Up CPR and other promising sudden cardiac arrest treatments. He and Dr. Joe Holley kicked off the discussion in a previous episode. Elevated CPR Series Episode One Elevated CPR Series Episode Three In this second episode installment of the sudden cardiac arrest and CPR series Kurt and Dr. Joe Holley discuss some key flaws in approaching cardiac arrest research like other medical diseases and treatments. The large number of unknown and uncontrollable variables surrounding sudden cardiac arrest make it hard for randomized control trials to effectively pinpoint positive treatment modalities. CARES Registry for Cardiac Arrest Stats Follow up on more of these segments as we continue to look at the current research trends in future episodes and what is on the horizon for the future. The episode was co-hosted by Sam Bradley and Jamie Davis. Scroll down for Podcast Discussion Summary 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. Podcast Discussion Summary Challenges in Resuscitation Research Funding Kurt discussed the paradox between resuscitation research and orphan drugs, highlighting how both lack funding despite their importance. He explained that orphan drugs target rare conditions, making research and development challenging due to limited market potential, similar to the situation in cardiac arrest resuscitation, which is a leading cause of death worldwide but receives limited research funding. Joe agreed, noting that complacency and insufficient focus contribute to the lack of high-quality research and implementation of new techniques in cardiac arrest resuscitation. Sam questioned the reliance on randomized control trials as the gold standard for evaluating resuscitation therapies, suggesting a need to explore alternative research paradigms. Propensity Score Matching in Research Kurt explained the concept of propensity score matching, a statistical analysis tool that allows for patient-to-patient comparisons using control groups not part of randomized trials, by matching variables such as age, downtime, and bystander CPR. Joe elaborated on the challenges of conducting cardiac arrest resuscitation research, highlighting the difficulty of patient participation in randomized trials and the need for large patient numbers to account for numerous impactful details. Jamie questioned the acceptance of different statistical analyses, to which Kurt responded that the issue is primarily one of unfamiliarity, as propensity score matching is widely used in other industries but not yet fully embraced in medicine. Improving CPR Techniques and Trials Joe and Kurt discussed the challenges of conducting randomized controlled trials for cardiac arrest, noting the difficulty in controlling variables and the high cost associated with large-scale studies. They highlighted the importance of using large numbers of patients to account for variables and the need for funding, which is often scarce. Sam brought up the discovery of the ITD and the plunger concept, leading to the suggestion of placing a thumb over the end of the ET tube to enhance pressure differentials and improve blood flow during CPR. Joe explained the hydrodynamic principles behind this technique, emphasizing the role of pressure differentials in creating flow and enhancing cardiac output. Counterintuitive CPR Physiology Insights The group discussed counterintuitive aspects of CPR physiology, including how preventing air from entering the lungs during chest compressions can actually improve blood flow. Kurt shared that many of these discoveries were made serendipitously while studying the body’s response to cardiac arrest. The discussion touched on the challenges of rural emergency response and the importance of data collection in EMS agencies. The participants agreed to continue the series with future episodes focusing on heads-up CPR and various therapies, with Kurt promising to share survival stories in the next installment. The group discussed the importance of disaster preparedness and the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Catch the full episode using the player above or on your favorite podcast platform, and don't forget to subscribe to the Disaster Podcast for weekly insights from leaders in disaster response and research!

Sudden cardiac arrest is a global disaster that rivals the recent viral pandemic in scope. Cardiac arrest is by far the number one killer worldwide according to every public health agency of note. Over the years, treatment of this problem has a less than 4 or 5 percent survival rate with only minor incremental changes to treatment modalities.

Marcus Coleman Vice President of Community Resilience Strategy, for the United Way Worldwide joins the podcast episode. He talks with the team about the 138 year history of the United Way and its commitment to 4 areas of community resilience: Disaster, Resilient Ecosystems, Economic Resilience, and Personal Resilience (personal connectedness and social capital). They commit to being there for people before, during, and after disaster strikes.

Tonight on the Disaster Podcast we dig into the expected impacts Hurricane Melissa will carry into Jamaica as it impacts the island country in the Caribbean. Disaster meteorologist Dan DePodwin and disaster emergency management expert Becky DePodwin join us this evening to look at the storm's origins and projected track. 

Tim Conley, Emergency Management Supervisor Mercy Health Care System. He's also the co-founder of the IDMC (Interstate Disaster Medical Collaborative) with our co-host Sam Bradley. Sam invited Tim on the show to talk about his Illinois Regional Healthcare Coordination system. This allows local healthcare systems to collaborate to provide emergency and disaster preparedness systems to their regions.

This week's Disaster Podcast episode is a stump the weatherman episode with our disaster meteorologist, Dan Depodwin. Co-host Sam Bradley and Dan's wife and disaster emergency management expert, Becky DePodwin take turns with the terms.

We shift gears to our clinical topic, effects of various penetrating trauma on body systems. Dr. Joe gives and overview of the topic in various situations. Becky DePodwin, our disaster emergency management expert, asked about penetrating trauma caused by high speed wind events like tornados and hurricanes.

In this episode of the Disaster Podcast, the team brings in professionals from across several hospital systems to look at how they prepare for incoming mass casualty patients. We talk about the kinds of drills the systems run, and also look at the various departments and how they respond in each type of situation.

Julie Roberts from JK Roberts, LLC drops by the podcast this week to address business disaster continuity plans. Julie led communications efforts at both the Federal and State levels including NOAA.

Dan Zehner from the Natural Hazards Engineering Research Infrastructure (NHERI) drops in the podcast to report on the recent documentary output from the research group. The links below contain a lot of information on how the NHERI research grants have turned into actionable infrastructure and building code improvement suggestions.

Midwife and Paramedic Jessica Arno, the Combat Midwife, returns this week to talk focus on pediatric emergencies in the disaster environment. She and the Disaster Podcast team talk about unique challenges facing responders who encounter sick and injured kids.

This week features a discussion of maternity and pediatric care in disaster situations with Jessica Arno, the Combat Midwife. Jessica is a midwite, paramedic, and battlefield-born educator who's trained over 100,000 combat medics, Special Warfare medics, and EMS professionals in OB/GYN and pediatric emergencies. From Afghan refugee camps to rural fire stations, she equips medics and civilians with the skills to handle birth, bleeding, and babies-when help isn't coming.

Disaster meteorologist, Dan DePodwin, joins the show this week to discuss the severe weather patterns that have led to dangerous flash flooding all across the country so far in July. The team discusses how this weather affects millions of Americans this summer.

Chuck Costanza joins the Disaster Podcast team tonight. He's the Vice President of Client Engagement for Global Guardian. They provide global threat assessments for companies, helping them protect their employees from the effects of things like major disasters.

Dan Zehner from the U.S. National Science Foundation's NHERI returns to the podcast this week. He talks about some of the key reports generated by their institutions in the past year. One particular StEER report on Hurricane Milton showed a huge dataset collected about the storm and its impact on homes and other infrastructure along the storm's path.

We asked Thomas Di Liberto, meteorologist, climatologist, and former NOAA employee on the show to discuss recent changes in National Weather Service staffing. Do the changes made in the name of government efficiency lead to risks in accurate weather prediction and disaster weather alerts? We discuss this on the show this week with the team.

David DiPietro was a former Coast Guard Rescue Swimmer and eventually an instructor for community operations and personnel. He later founded DiPietro and Associates, a medical equipment business, including the distribution of AEDs. Kelsey Treat, David's daughter, now runs the company's sales and operations while Dave focuses on new business opportunities.

We are joined this week by former FDNY firefighter/paramedic Vincent Johnson. Vinnie comes to us from Disaster Medical Solutions and a former FEMA USAR team in New York. He and Dr. Joe Holley share information about USAR medical specialist operations training for USAR docs and paramedics.

In this episode we talk about a conference a few months back that was attended by both Becky DePodwin and Kyle Nelson. Becky is our Emergency Management disaster expert and Kyle has experience in meteorological issues and is also an educator for emergency managers on social media use and information management during disasters and major events.

This week we take a look at what it takes to train and deploy with USAR dogs during disasters. Dr. Joe Holley's better half, Kimberly comes by to talk about her work with the FEMA team from Memphis, Tennessee. She currently had two trained dogs (one live find dog and a human remains detection dog), Kimberly is currently training a third for live search and rescue. 

Our resident meteorologist and disaster emergency management expert, Becky DePodwin, shares her take on the preparedness challenges when a broad weather front crosses the nation. Many states are dealing with severe rain, winds, and flooding that have caused more than a dozen deaths. In fact, the month of March was the windiest on record.

Gavin Blair, COO of Bright Harbor, joins the rest of the podcast team tonight. He discusses the unique challenges people face in the aftermath of disaster. Whether it's knowing the best way to file with your insurance company, or how to navigate the FEMA bureaucracy, having an advocate in your corner can be a game-changer.

Edward Coulson from Ready Northwest returns to the Disaster Podcast to share ways businesses can build resiliency plans for disasters and major adverse events. Often overlooked in the community resilience discussion, local and regional businesses are anchors for the financial well being of a community. Including them while planning drills and events can improve the overall community response to a disaster.

Author Beth Livingston joins the team in this episode to share her accounts of two past disasters here in the United States. First she recounts the personal stories of resilience in The Dayton Flood of 1913. Then she tells the stories of the survivors of The Charleston Earthquake of 1886.

In this episode we look at the variable patient presentations USAR docs and paramedics encounter when rescuing individuals from a collapsed structure. Joe points out that these patients vary based on the amount of time that has passed since the initial disaster situation. If you're responding to the early hours after a collapse, your approach is more immediate life threats such as hemorrhage management or opening and maintaining an airway.

Dr. Joe Holley comes back after being off the show for a few months due to extensive travel for training and conference attendance. We discuss the inflow of respiratory illness to our nation's hospitals and the difficulties finding rooms and beds for patients who need them.

Kyle Nelson, our disaster meteorologist and ski patroller, joins us this week in his role as Planning Section Chief with the Winter XGames Aspen Incident Management Team. He shares his experiences planning and helping with operations for medical and response management during the games this year.

This week on the Disaster Podcast we look at some of the root causes of airline crash disasters and what kinds of things pilots do to avoid midair collisions. Becky DePodwin helped us bring in an Emergency Management colleague, Edward Colson. He's a former commercial helicopter pilot, currently and emergency manager and owner of a consulting firm, Ready Northwest.

Welcome back to the Disaster Podcast, your go-to resource for medical professionals, first responders, and disaster rescue experts. This week's episode features a returning guest, Dan Zehner, from the Natural Hazards Engineering Research Infrastructure (NHERI), alongside our cohosts Sam Bradley (retired firefighter and paramedic) and Jamie Davis (nurse and retired paramedic).

On this week's episode, Dan DePodwin joins us to discuss the unique weather implications surrounding the widespread wildfires hitting the Los Angeles area this week. We discuss Santa Ana winds and the source in the mountain deserts around the Four Corners region of the Southwest.

Our amazing Disaster Podcast team got together this week to share their favorite episodes from 2024. We covered a lot of topics and disaster responses over the previous year but there were a few standouts for each of us.

With the approaching holidays here at the end of December, along with the accompanying winter storms tracking across the midwest and into the northeast, it's important to review preparedness and travel warnings for your region. Becky DePodwin, our disaster emergency management expert, joins us to cover some of the weather and preparedness concerns.

Our ski patrol and disaster meteorology expert, Kyle Nelson, comes by the episode tonight with fellow snow and mountain rescue expert Carl Kishbaugh. Karl is a ski-patroller with years of experience in mountain and ski-lift rescue as well as avalanche dog handling. Ruby, his avalanche search and rescue dog, recently trained with he and Kyle on helicopter acclimation and landing zone handling.

Henry Mitchell joined the show and we switched gears to discuss emergency planning and management of diverse community resources to prepare to respond to emergencies and disaster situations. Henry is Deputy Director Office of Emergency Preparedness Response in the Colorado Department of Public Health and Environment. He holds an MS Emergency Response and Biosecurity and specialized for a time in Disaster Behavioral Health.

Tom Cotter, MPH, serves as executive director of Healthcare Ready, bringing more than a decade of global health readiness and response expertise to expand nonprofit's mission-driven work addressing health equity. Healthcare Ready is a nonprofit organization established in 2007 to help strengthen the US healthcare system and assist all communities in planning for, responding to, and recovering from disasters and disease pandemics.

The National Science Foundation NHERI (Natural Hazards Engineering Research Infrastructure) organization had teams out in advance of the recent hurricanes to strike Florida. They set up for the Sentinel Program from the University of Florida to use sensor platforms to detect all the various forces from incoming storms. This was the first full deployment of the Sentinel system.

ZeroEyes technology delivers a proactive, human-verified visual gun detection and situational awareness solution. It integrates into existing digital security cameras on a site to stop mass shootings and gun-related violence. Jonathan Norton, VP of Commercial Sales for ZeroEyes comes on the show to talk about their ground-breaking software and human verification service that completes the process to eliminate false positives causing needless lockdowns.

Former San Ramon Valley Fire Chief Richard Price was having lunch one day when he saw one of his engines stopping in front of the restaurant. Someone in an adjacent business had suffered a cardiac arrest. What really bothered him was that he, a trained responder was only yards away and he had an AED in his vehicle. Had he been alerted, he could have provided care much sooner than waiting for the responding professionals.

Tim Conley and Dr. Kateryna Riabko from Med Global to talk about the training mission they worked on together in Ukraine. Med Global provides surgical and nursing training along with equipment training with things like ultrasound devices. They also work to train medical staff on chemical weapons that might be released during the war there.

Disaster Podcast host Sam Bradley reached out and connected with Dr. Joe Holley while deployed in the field. Joe has been hard at work with the FEMA IST (Federal Emergency Management Agency Incident Support Team) while they supported teams in the field for Hurricane Helene. He and his wife Kimberly are currently in North Carolina finishing up the immediate search and rescue support for that region.

On this episode of the Disaster Podcast, host Sam Bradley takes the helm to lead a discussion with our team about the impending impacts of Hurricane Milton on the central Florida Gulf Coast. Disaster Meteorologists Dan DePodwin and Kyle Nelson jump in with their expertise on the current track predictions. Disaster emergency management expert Becky DePowin shares her takes on preparedness messaging leading up to the storm as well.

This week we look at the needs of first responders who have fallen on hard times. The Primum Non Nocere Foundation (pnnf.net) provides short term resources to help out our brothers and sisters who need a bit of help in a time of need. Founder Louis Cazzetta comes on the show with co-hosts Sam Bradley and Jamie Davis to discuss the important work he's doing.

The Disaster Podcast team assembled to look at the impacts of Hurricane Helene on the Florida gulf coast at the big bend region. It will also have significant impacts on inland areas in Georgia, North and South Carolina, Tennessee, and even southern Indiana and Illinois.

Disaster Meteorologist Dan DePodwin joins our podcast this week to review the impacts of Hurricane Francine. This storm struck the Louisiana coast and moved inland over Mississippi, Tennessee and surrounding areas. Dan and the co-hosts also discuss the impacts of wildfires in the west. California, Oregon, and Washington states bear the brunt of the recent spate of serious wildfires. Dan shares how these large areas of fire create their own weather patterns.

Dan Harris, Battalion Chief with Memphis, Tennessee Fire Department joins us in his other role as one of the Paragon Medical Group disaster educators. He shares key memories of training evolutions and how he learns from the jurisdictional differences he encounters with his students. Dr. Joe Holley joins the discussion as well and shares several anecdotes about Dan's contribution to the training team.

In this episode, we chat with Jameson Morgan, Director of Partnerships for goTenna. GoTenna is a company that provides critical network communications solutions for military, government, and emergency services personnel. It enables them to maintain contact in rough environments where standard communications methods experience difficulties.

Our disaster meteorologist, Dan DePodwin, joins us this week to talk about Hurricanes Debby and Ernesto. Debby caused widespread flooding from Florida to upstate New York. Dan and Becky DePodwin share an experience driving during the passage of Debby's remnants in the Catskill Mountains of New York.

In this episode of the Disaster Podcast we talk with nurse Alicia Bean who is preparing for a return trip with IDMC to Ukraine where she works educating medical personnel on trauma and other best practices. Interstate Disaster Medical Collaborative (IDMC) provides a forum for collaboration, cooperation and coordination of disaster medical experts, assets and systems. The teams are comprised of state and regional providers of mass gathering and disaster medical care.