Paramedic PapersHome Daily scans 27 July 2026
Daily scan
Paramedic research, 27 July 2026
82 new paramedic and prehospital papers from the 27 July 2026 scan.
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Adrenaline in traumatic cardiac arrest survival
Prehospital epinephrine administration in patients with traumatic cardiac arrest was associated with increased survival to hospital discharge and prehospital ROSC.
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Simulation optimisation for MCI ambulance dispatch
Study on: Simulation-based dynamic optimization for ambulance dispatch and casualty distribution in mass casualty incident. No abstract available for detailed assessment.
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Prehospital pelvic binders don't cut transfusion
In this nationwide propensity-matched cohort of patients with blunt pelvic fractures, prehospital pelvic binder use was not associated with reduced 24-hour transfusion requirements or in-hospital mortality, but was associated with a higher rate of pelvic angioembolization.
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Smart glasses for EMS–physician communication
Smart glasses have the potential to enhance EMS-OLMC communication and improve completion of physician-guided critical tasks, though these benefits come with longer interactions.
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Airway pressures during manual vs mechanical CPR
Prehospital mPAW values were substantially lower than those reported in previous ED-based studies.
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Resilience predicts paramedic mental health symptoms
This study provides important insights into the mental health challenges faced by emergency service workers (ESWs), including paramedics, firefighters, and emergency medical dispatchers (EMDs).
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Nearest-hospital transport policy affects ED metrics
EMS destination policies can affect ED care delivery metrics.
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Case management for high ambulance users ineffective
Study on: Effectiveness of Multidisciplinary “Case Management” Approaches to the Management of Patients Who Make High Use of the Emergency Ambulance Service: A Quasi-experimental Evaluation Using Linked Routine. No abstract available for detailed assessment.
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Referral delays, not distance, drive trauma deaths
Prehospital delay and injury severity exhibit a lethal synergistic interaction.
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FLAG score predicts circulatory support need in shock
The FLAG risk score is a simple, registry-based model to predict MCS treatment during hospital stay in a prehospital setting.
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Sex differences in OHCA survival, Norwegian registry
We found differences in baseline characteristics and treatment performed by Emergency Medical Services (EMS) between women and men, as well as differences in survived event and survival to 30 days.
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Ketamine vs propofol for aeromedical psychiatric sedation
In this RCT of 170 patients, ketamine was associated with fewer adverse events compared to propofol when used for sedation during aeromedical retrieval of patients experiencing acute psychiatric agitation.
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Which paediatric trauma cases warrant prehospital blood
In a nationally representative prehospital sample, many injured children appeared eligible for transfusion.
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Poor field differentiation of infant upper vs lower airway disease
EMS clinicians documented similar primary impressions and administered many of the same treatments across both upper and lower airway groups, demonstrating minimal differentiation in prehospital management of young children.
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Expert-picked EMS research reading list
We identified 10 high-impact primary publications to prioritize for inclusion in initial and ongoing EMS education to inform evidenced-based out-of-hospital care and address gaps in existing prehospital EBGs.
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Hypopharyngeal perforation after King laryngeal tube
Hypopharyngeal perforation is a rare but serious complication of prehospital King laryngeal tube placement.
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ECPR for refractory OHCA in Germany
Between 2018 and 2023, ECPR was used for 2.9% of refractory OHCA cases admitted to hospitals in Germany.
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ACS response on prehospital spinal motion restriction
Study on: Prehospital Management of Suspected Spinal Cord Injuries: Perspectives from the American College of Surgeons Committee on Trauma. No abstract available for detailed assessment.
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Critical care transport better in interfacility OHCA
Using a large nationwide sample of OHCA incidents that occurred during IFT, we found that higher level of EMS care was associated with superior short-term outcomes while controlling for other key factors.
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Outcome-informed EMS response planning review
Study on: Outcome-informed Emergency Medical Services Response Planning: A Systematic Review. No abstract available for detailed assessment.
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Prehospital NEWS predicts death despite low ED triage
Prehospital physiologic instability was associated with increased in-hospital mortality among patients classified as low risk at ED triage.
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Signs of life strongly predict OHCA survival
One in four treated OHCA patients displayed at least one sign of life during resuscitation.
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Physician attendance improves OHCA neurological outcomes
Prehospital physician presence was associated with improved neurological and survival outcomes after OHCA, with variation across patient subgroups; however, given the observational design and potential selection bias, these findings should be regarded as hypothesis-generating.
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TOR rules uncertain in choking-related OHCA
In FBAO-related OHCA, BLS-TOR would have classified two patients with favorable neurological outcome as TOR-positive.
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US heat-related EMS encounters rising regionally
While national odds and proportions of heat-related prehospital encounters have risen slightly in 2023 compared to 2019, certain geographic regions have experienced far greater increases.
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EEG-guided early sedation withdrawal post-arrest feasible
Early withdrawal of sedation is feasible and safe in patients with an early favourable EEG following cardiac arrest.
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Device safety in dual defibrillation
Study on: Beyond patient outcomes: considering device safety during dual defibrillation. No abstract available for detailed assessment.
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Reducing cardiac arrest disparities
Study on: One Size Does Not Save All: Designing Interventions to Reduce Cardiac Arrest Disparities. No abstract available for detailed assessment.
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Early sedation after cardiac arrest outcomes
Study on: Does early sedation improve outcomes of cardiac arrest? Biologically plausible but elusive causal estimates. No abstract available for detailed assessment.
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OHCA uncontrolled donation lung transplant
Study on: Out of hospital cardiac arrest, uncontrolled donation after circulatory death only lung and lung transplants. No abstract available for detailed assessment.
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Device damage with dual defibrillation
To map and characterize device damage and malfunction associated with dual defibrillator use in defibrillation and cardioversion, which is increasingly employed in both elective and emergency settings, and to identify knowledge gaps relevant to practice and future research.MethodsWe conducted a scop
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AI EEG prognostication after cardiac arrest
Accurate prediction of neurological outcome after cardiac arrest is essential for guiding intensive care decisions.
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Psychological cost of community responder dispatch
Study on: Dispatching the community to save children in cardiac arrest: the psychological cost of activating community first responders. No abstract available for detailed assessment.
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Tactile stimulation site in neonatal resuscitation
There was no difference in 5-min SpO2, need for further resuscitation in DR, cerebral oxygenation, and in-hospital complications with the three modes of TS, sole rub, trunk rub and back rub.
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Poor outcomes after asystolic OHCA survival
Among 12-month survivors of EMS-treated asystolic OHCA, good functional recovery was achieved by only one-third of patients, with most survivors experiencing persistent disability and impaired HRQoL.
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Rescue breathing better in paediatric drowning arrest
In pediatric drowning OHCA, CO-CPR was associated with worse survival and neurological outcomes than RB-CPR.
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Early sedation after ROSC and outcomes
The decision of sedation started after ROSC and before ICU admission was associated with a good functional recovery on day 90.
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One dose dexamethasone enough for paediatric asthma
Nearly two-thirds of children with asthma exacerbations were treated with 2 doses of dexamethasone rather than a single dose, even though treatment with 2 doses was not associated with improved outcomes.
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AI history-taking in paediatric ED feasible
This pilot study of ChatGPT-enabled patient history taking in the pediatric emergency department waiting room was feasible, well accepted, and produced accurate, complete, readable, and efficient summaries.
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Observation cuts CT in paediatric abdominal trauma
Observation with deferred CT decisionmaking was associated with less frequent CT use, particularly in patients with intermediate clinician suspicion, without an increase in missed injuries.
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Research agenda for paediatric mental health emergencies
This consensus-based research agenda, which integrates diverse perspectives, informs the need for research to improve identification and management of children at risk of harming themselves or others in the out-of-hospital and emergency department settings.
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Awake intubation by emergency physicians feasible
In this preliminary single-center study, emergency physicians performed awake intubation with relatively high incidence, high overall success, and low rates of major adverse events.
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Teen and caregiver views on lethal means counselling
Lethal means safety counseling is an essential, high-yield component of suicide prevention.
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Critical care poorly aligned with OHCA need in England
Prehospital critical care is associated with improved outcomes following out-of-hospital cardiac arrest (OHCA), but may not be distributed equitably.
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Helicopter + ground transport doubles thrombectomy access
A hybrid transportation strategy improved access to MT in a single center study.
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Early non-IV analgesia in prehospital trauma
Study on: Early non-intravenous analgesia in prehospital trauma care: time to act. No abstract available for detailed assessment.
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Perceived prehospital delays in trauma mass casualty incidents
Mass casualty incidents (MCIs) place substantial demands on pre-hospital systems.
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Managing ED care during civil unrest
Emergency clinicians should be familiar with the distinct injury profiles associated with crowd-control weapons and be prepared to manage them within the emergency care setting.
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Cross-border EMS response to fatal train crash
This report describes the response to a major incident, characterized by effective inter-authority cooperation and successful cross-border collaboration between Danish and German emergency services.
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HEMS dispatch timing matters for LVO stroke thrombectomy
The efficacy of endovascular thrombectomy (EVT) for large vessel occlusion (LVO) stroke is highly time-dependent.
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Family communication in resuscitation skills
Study on: Expanding the framework of non-technical skills in resuscitation: why family communication matters. No abstract available for detailed assessment.
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Tools for assessing trauma team leadership
Leadership is a key non‑technical determinant of trauma team performance and is associated with adherence to protocols and patient outcomes.
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Sex and gender disparities in trauma care
Study on: Need-standardised comparisons must not become a barrier to recognising and addressing sex and gender disparities in major trauma care. No abstract available for detailed assessment.
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Nordic ICU outcomes in traumatic brain injury
Traumatic brain injury (TBI) is a major cause of death and disability, with large variations in management strategies and outcomes across countries.
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12-year trends in prehospital demand and acuity
Emergency medical services (EMS) are one of the main interfaces between acutely ill patients in the prehospital environment and hospital-based care.
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Decision support for ED imaging referrals
Successful implementation of eCDS requires more than technological deployment.
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Vaccine-preventable diseases in the ED
ABSTRACT Across the globe, there has been a resurgence in vaccine‐preventable diseases reflecting declining immunity, vaccine hesitancy and gaps in vaccine coverage.
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Rural head injury care without on-site CT
Patients with closed head injury in this rural emergency department had substantial neuroimaging needs despite the absence of hospital‐based CT.
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Miller vs Macintosh blade in paediatric intubation
In this cohort of young children intubated in the ED, Macintosh blade use was associated with higher FPS and fewer hypoxic events compared with Miller blade.
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Diphtheria re-emergence and ED impact
ABSTRACT Diphtheria has re‐emerged in Australia in 2026, prompting significant public health concern and placing additional demands on healthcare services.
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Perspectives on paediatric ED mental health care
Care recipients and care providers identified challenges in service coordination, clinician readiness and the ED environment.
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Chronic liver disease ED presentations in Queensland
CLD‐related ED presentations are increasing and place substantial demand on hospital services in Queensland.
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Poor agreement on radiological tension features
Interpretation for radiological tension features had poor inter‐rater reliability, which seriously changes their appropriateness as drivers for interventional management.
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Timing of out-of-hospital traumatic cardiac arrest
Nine out of ten out-of-hospital TCAs occur before EMS arrival.
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Inconsistent definitions in neonatal ILCOR documents
Study on: Consistency of definitions used in International Liaison Committee on Resuscitation Neonatal Life Support documents. No abstract available for detailed assessment.
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AED pad pictograms and sex representation in Japan
Study on: Automated External Defibrillator pad placement pictograms in Japan: sex representation in publicly available product information. No abstract available for detailed assessment.
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Smartphone-dispatched community responders in OHCA
Study on: Public Access Defibrillation by Activated Community First Responders - the randomized HeartRunner Trial. No abstract available for detailed assessment.
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Deliberate practice translated to bedside
Study on: Step-by-step: Translating deliberate practice to the bedside. No abstract available for detailed assessment.
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Synchronised ventilation faster ROSC in neonatal piglets
In a neonatal piglet model of asystolic cardiac arrest, CCSV resulted in a significantly faster time to ROSC compared to 3:1 C:V.
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University first aid programme boosts preparedness
Study on: Strengthening workplace emergency preparedness through a university CPR and first aid responder programme: four-year experience. No abstract available for detailed assessment.
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Cost-effectiveness of conservative oxygen post-arrest
Conservative oxygen was associated with modest cost savings and small differences in health outcomes, with no clear economic advantage over liberal oxygen.
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1 vs 2-minute compressor rotation with feedback
Study on: Comparing Chest compression Quality in 1-Minute vs. 2-Minute Rescuer Rotations with and without Audiovisual Feedback Guidance during full Adult Advance Life Support Simulated Scenarios: A Randomized S. No abstract available for detailed assessment.
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Simulation POCUS training in paediatric arrest
Study on: Beyond feasibility: does simulation-based POCUS training translate into clinically meaningful pediatric arrest performance?. No abstract available for detailed assessment.
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Machine learning predicts paediatric code events
Study on: Validation of a Hospital-Wide Risk Stratification Model for Predicting Code Events Among Critically Ill Children. No abstract available for detailed assessment.
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BDR best score for post-OHCA mortality
Study on: External Validation and Comparative Performance of ACLS, SARICA, NULL-PLEASE, BDR scores for In-Hospital Mortality after Out-of-Hospital Cardiac Arrest: A Multicenter Retrospective Cohort Study. No abstract available for detailed assessment.
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US paediatric drowning OHCA characteristics
Study on: Characteristics of pediatric drowning out-of-hospital cardiac arrests in the United States. No abstract available for detailed assessment.
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Simulation builds team confidence for prone/beach-chair arrest
A half-day, multi-station in situ simulation course at an elective surgical unit was associated with higher self-reported confidence at three months, and self-reported application of course content to real patients.
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Tocilizumab no effect on NGAL after OHCA
Tocilizumab did not affect NGAL in comatose survivors of OHCA.
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Public AED cost per shock
Analysis of public AED deployment cost-effectiveness found very low usage rates relative to investment — the study examines strategies to improve cost per delivered shock.
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Selecting patients for ECPR after OHCA
Review of patient selection criteria for ECPR after OHCA.
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Late TXA after trauma: uncertainty
Commentary on the evidence gap around TXA administration beyond 3 hours post-injury.
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Over-rapid BP drop worse after ICH
Retrospective cohort examining whether rapid systolic BP reduction ≤150 mm Hg after spontaneous intracerebral haemorrhage improved outcomes — early target achievement and overshooting <120 mm Hg were associated with worse functional outcome.