Paramedic PapersHome Daily scans 4 August 2026
Daily scan
Paramedic research, 4 August 2026
8 new paramedic and prehospital papers from the 4 August 2026 scan.
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Cold-water immersion in heatstroke cardiac arrest
Examines feasibility and outcomes of cold-water immersion during prehospital heatstroke cardiac arrest resuscitation
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High adverse event rate after prehospital RSI
Investigates the prevalence of adverse events following prehospital airway management using neuromuscular blockade
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NEMSIS records mostly unique encounters
Retrospective analysis of 36.7 million NEMSIS records — 99.5% represent unique patient-care episodes with only 0.5% involving multiple records for the same encounter
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FDSV rarely detected in virtual ED
Retrospective cohort of Victoria's Virtual ED — only 21 FDSV presentations identified among 173,936 visits (0.012%), suggesting significant under-detection
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Single-dose aminoglycoside AKI risk in CKD
Retrospective cohort across four Australian hospitals — single-dose aminoglycosides caused AKI in 30.9% of CKD patients vs 13.4% without CKD (OR 2.88)
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AI triage tool predicts ED admission
Model explainability analysis of START-AI — AUROC improved from 0.78 to 0.90 with AI features, driven primarily by blood test results, triage comments, and clinical notes
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Vaccine-preventable diseases re-emerging in EDs
Editorial on the re-emergence of vaccine-preventable diseases post-COVID — declining vaccination rates are causing outbreaks of diphtheria, measles, and other VPDs in Australasia
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EDs: opportunistic immunisation, not vaccine clinics
Editorial arguing EDs should provide opportunistic, proportionate immunisation for vulnerable patients rather than functioning as routine vaccine clinics