Paramedic research, 31 July 2026

3 new paramedic and prehospital papers from the 31 July 2026 scan.

Prehospital magnesium before thrombolysis: no overall benefit

Journal of Stroke and Cerebrovascular Diseases · RCT · Hypothesis-generating

Secondary analysis testing whether prehospital magnesium sulfate followed by thrombolysis improves 90-day outcomes — feasible and safe but no significant overall clinical benefit, though severe stroke patients (NIHSS >15) showed better outcomes in hypothesis-generating subgroup analysis.
Rural vs urban EMS: 2024 NEMSIS update

Prehospital Emergency Care · Cross-sectional · Context only

Survey examining EMS characteristics and care differences between rural and urban areas — reports on resource availability, response times, and clinical capabilities.
Prehospital REBOA: feasibility shown, survival mixed

Prehospital Emergency Care · Systematic review · Hypothesis-generating

Systematic review evaluating prehospital REBOA for traumatic cardiac arrest — reports on feasibility, survival outcomes, and complications.