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Paramedic research, 30 April 2026

3 new paramedic and prehospital papers from the 30 April 2026 scan.

• Finger thoracostomy beats needle decompression in cadavers

  Prehospital Emergency Care · Simulation · Hypothesis-generating

  Cadaveric crossover study testing needle decompression versus simple thoracostomy for theoretical tension pneumothorax — simple thoracostomy was more successful and faster, but the model limits clinical certainty.

• Expedited OHCA transport costs similar to standard

  Resuscitation · Registry · Context only

  Greater Sydney costing analysis of expedited OHCA transport for possible ECPR versus standard care — overall health system costs were comparable, with higher costs when patients arrived during ECPR business hours.

• IV vs IO in OHCA: long-term outcomes similar

  Resuscitation · RCT · Supports current practice

  IVIO follow-up comparing initial intraosseous versus intravenous access in adult non-traumatic OHCA — 6-month and 1-year outcomes were similar, with no evidence that either access strategy improves long-term survival or neurological outcome.