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Paramedic research, 18 May 2026

6 new paramedic and prehospital papers from the 18 May 2026 scan.

• Field acuity predicts ICU admission in stable adults

  Acıbadem Üniversitesi Sağlık Bilimleri Dergisi · Cohort · Context only

  Prospective study of 393 patients transported by ambulance found urgent field classification, hypotension, critical hyperglycemia, and prehospital interventions predicted ICU admission.

• Prehospital whole blood no better than components

  New England Journal of Medicine · RCT · Supports current practice

  Multicenter randomized trial comparing prehospital type O whole blood resuscitation to standard care in trauma patients with hemorrhage.

• Alfen blind intubation device works on manikins

  BMJ Innovations · Simulation · Hypothesis-generating

  Manikin study with 157 intubation attempts achieved >98% success rate with the novel blind intubation device across operators of varying experience.

• DSED use rising but still low after DOSE VF

  Prehospital Emergency Care · Cohort · Context only

  Nationwide observational study examined trends in DSED use for refractory VF before and after publication of the DOSE VF trial.

• Poor Utstein reporting in traumatic OHCA studies

  BMC Emergency Medicine · Systematic review · Context only

  Scoping review evaluated the extent to which prehospital traumatic cardiac arrest studies report Utstein-recommended variables to improve data standardization.

• IM naloxone better than IN for overdose

  Prehospital Emergency Care · Cohort · Hypothesis-generating

  Nationwide cohort study compared prehospital outcomes for initial intranasal versus intramuscular naloxone administration in suspected opioid overdose.