Paramedic PapersHome Daily scans 20 August 2026
Daily scan
Paramedic research, 20 August 2026
5 new paramedic and prehospital papers from the 20 August 2026 scan.
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Intranasal equals subcutaneous ketamine for pain
RCT testing whether intranasal ketamine is non-inferior to subcutaneous for acute traumatic pain — both routes provided equivalent analgesia with minimal clinically important differences, though minor adverse events were more common with subcutaneous administration.
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Trauma undertriage still high in Tromsø
Retrospective registry study assessing trauma undertriage using ISS ≥16 and NISS ≥16 as reference — found 15% undertriage (above the recommended <5%), with 63% of undertriaged patients meeting national criteria but not receiving trauma team activation, mostly low-energy falls.
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Capnometry with prehospital intubation cuts mortality
Nationwide registry study examining capnometry use during prehospital intubation and its association with 30-day mortality.
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Mapping medical clearance of psychiatric ED patients
Scoping review mapping medical screening practices for adult psychiatric patients presenting to ED — identified 8 themes (laboratory testing, history taking, vital signs, physical examination, diagnostic imaging, screening tools, ECG, system-level factors), with society recommendations discouraging routine lab testing.
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Medical students can teach infant BLS
Quasi-experimental study testing whether physician-supervised medical students can deliver infant BLS training to caregivers — knowledge scores improved significantly after training and were sustained at 12 months, with no difference between physician and student-led groups.