Paramedic PapersHome Daily scans 23 May 2026
Daily scan
Paramedic research, 23 May 2026
6 new paramedic and prehospital papers from the 23 May 2026 scan.
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PANDA trial: noradrenaline vs adrenaline in shock
This multicenter RCT protocol tests whether noradrenaline improves outcomes compared with adrenaline for paramedic management of cardiogenic shock, with the PANDA trial aiming to settle the debate on optimal vasopressor choice in the prehospital setting.
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EMS protocols rarely guide pads in STEMI
They reviewed whether EMS protocols adequately address defibrillator pad placement in prehospital STEMI care, and found significant variability and gaps that may compromise monitoring and pacing capability during transport.
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Geolocation recruits responders to defibrillators
This study evaluated whether a geolocation system can recruit volunteer first responders to nearby defibrillators in real time, and found it successfully mobilised responders and shortened time to first shock compared with historical controls.
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AI in prehospital airway care still experimental
They reviewed AI applications in prehospital airway management and found most tools remain experimental, with limited integration into clinical workflows despite promising capabilities for difficult airway prediction and real-time guidance.
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Practical education boosts mental health confidence
They tested whether practical-based education improved paramedic students' confidence and competence in mental health assessment and management, and found hands-on training significantly improved both self-efficacy and clinical performance compared with traditional classroom teaching.
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System failure drives poor OHCA outcomes in India
This commentary argues that poor resuscitation outcomes in India are driven by prehospital system failures rather than individual provider limitations, highlighting the need for structural reforms in emergency response infrastructure and training.