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Behind The Shield

Dr Joseph Ibrahim (Trauma Medicine, The Pulse Shooting and EMS Training) - Episode 24

Behind The Shield

James Geering

Health & Fitness, Mental Health, Fitness

4.9667 Ratings

🗓️ 22 March 2025

⏱️ 81 minutes

🧾️ Download transcript

Summary

This week's guest is Dr Joseph Ibrahim, trauma director for ORMC and part of the surgical team that treated the victims of the Pulse shootings. We talk prehospital trauma, lessons learned from Pulse, emergency interventions in the field and much more.

Joseph Ibrahim, M.D. currently serves as trauma medical director at Orlando Regional Medical Center (ORMC), where he oversees Central Florida’s only Level I Trauma Center. Dr Ibrahim joined Orlando Health’s Department of Surgical Education in 2012 as an associate program director of the General Surgery Residency. He is also a member of the Orlando Health Physicians Surgical Group, and is board certified in both general surgery and surgical critical care.

Dr Ibrahim earned his medical degree from the James H. Quillen College of Medicine at East Tennessee State University in 2003, where he served as Vice President of his class and was awarded the Arnold P. Gold Humanism in Medicine Award. Dr Ibrahim completed a general surgery residency at East Tennessee University, and was recognized with the Outstanding Surgical Resident Award. He then completed a surgical critical care fellowship at Orlando Health.

Following his residency and fellowship, Dr Ibrahim remained at East Tennessee University as an assistant professor, with the division or trauma/critical care/acute care surgery. He found success working with surgical residents, first as an assistant professor, then as an interim vice chair of the surgery department. Dr Ibrahim also worked as a general surgeon in a private practice.

In his capacity as a surgical educator, Dr Ibrahim holds academic appointments with Florida State University and the University of Central Florida. He is a certified course director for the Fundamental Critical Care Support Course, and regularly facilitates lectures and skill stations for the Advanced Trauma Life Support course. Dr Ibrahim’s passion for laudable patient care was recognized in 2013, where he received the Orlando Health ORMC Physician Exemplar Award.

Dr Ibrahim is a fellow of the American College of Surgeons and a member of the Society of Critical Care Medicine, the Eastern Association for the Surgery of Trauma and the Southeastern Surgical Congress. His most recent research includes articles, abstracts and publications on ultrasound simulation training for residents, vitamin D use in the critically ill patient population and new ICU protocols to reduce catheter associated urinary tract infection (CAUTI) rates.

Transcript

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0:00.0

Welcome guys to Behind the Shield. My name's James Gearing and this is episode 24. And my guest

0:05.3

this week is someone who kind of hits a little closer to home. Dr. Joseph Ibrahim is the

0:12.7

trauma medical director, ORMC, Orlando Regional Medical Center, which was my primary hospital

0:19.3

in my old fire department and is my primary trauma center

0:23.3

even now. Now, we are going to talk about the pulse shooting. There's not the whole focus of this

0:29.0

interview. Dr. Ibrahim is an extremely interesting and intelligent man and we draw all kinds of

0:34.4

things from from his brain. But touching on the pulse incident for a moment

0:38.6

my old station my old first you we could hit pulse with the rock it was just within the city of

0:44.4

Orlando's limits but we were the next station over and then the shooter's secondary target that

0:50.2

he was trying to decide if he was going to hit that instead was now my first due Disney Springs

0:55.4

in the Disney area. So that incident hit home. Now, I was overseas. I was actually in Portugal

1:02.1

with family when it happened. So I was really, you know, torn up to see both these, these areas

1:08.7

that I love affected that way. So back to Dr.

1:13.6

Ibrahim, he was one of the trauma team in that incident. And we certainly want to talk about

1:20.9

that. That's an incident that a lot of people want to hear about. And there were some great

1:25.6

lessons of things that went really, really well

1:27.9

and some things that they changed after through the first responders' perspective and through

1:32.4

the ER perspective. But I also really started delving into his mind about trauma in general.

1:38.3

I mean, outside of that, we get the shootings, we get the stabbings, we get, you know,

1:41.7

the car accidents, all kinds of trauma. So we talk

1:45.4

about intubation in the field, tourniquets, needle decompression, all these things that we're taught.

1:51.2

And how often they use, are they effective? Would they be better used more? You know, by the

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