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Paramedic research, 30 July 2026

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

• Only a third get PHT within 30 min

  Prehospital Emergency Care · Registry · Hypothesis-generating

  This Australian study identifies factors affecting timely prehospital thrombolysis delivery in Victoria's pharmacoinvasive STEMI network.

• Physician-led prehospital ECPR: small eligible subset

  Prehospital Emergency Care · Cohort · Hypothesis-generating

  Observational cohort testing an EMS physician-led prehospital ECPR activation protocol for refractory VT/VF cardiac arrest — only 4.3% of 347 OHCA patients were eligible, ECPR was activated in 66.7% of eligible patients, and 40% of the activation group survived to discharge with good neurological outcome.

• No mortality benefit for prehospital whole blood

  The American Journal of Emergency Medicine · Systematic review · Supports current practice

  Systematic review and meta-analysis evaluating outcomes of prehospital whole blood transfusion compared to blood component therapy in traumatic haemorrhagic shock.