Paramedic research, 21 April 2026

3 new paramedic and prehospital papers from the 21 April 2026 scan.

Paramedic patella reduction guideline works in Victoria

Prehospital Emergency Care · Cohort · Supports current practice

Retrospective study (n=1,210) evaluating whether Ambulance Victoria's Nov 2022 CPG for paramedic patella reduction changed practice — 91.8% reduction success rate, transport rate dropped 38.4%, case duration cut by ~33 minutes, and IV cannula use down 17.3%, with no change in effective analgesia rates.
Pacing artefact can mask VF during TCP

Resuscitation · Case series · Context only

Case series examining the problem of ventricular arrhythmias occurring during TCP and delays to defibrillation — highlights the clinical trap of pacing artefact masking VF and the need to pause pacing to identify shockable rhythms.
Bystander care in first minutes of trauma

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine · Guideline / statement · Context only

Concept editorial arguing that the first minutes after injury, before EMS arrival, are a distinct high-risk window where bystander action and dispatcher guidance can prevent deaths, especially through haemorrhage control and airway management.