Paramedic PapersHome Daily scans 29 August 2026
Daily scan
Paramedic research, 29 August 2026
13 new paramedic and prehospital papers from the 29 August 2026 scan.
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Adrenaline given in only 60% of paediatric OHCA
Retrospective analysis of US NEMSIS data found adrenaline was administered in only 60% of paediatric out-of-hospital cardiac arrests, with longer scene times, advanced airway attempts, and defibrillation associated with higher odds of administration, while public settings and female sex correlated with lower odds.
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Predicting prehospital blood need after MVC trauma
Machine learning models using NEMSIS data achieved strong discrimination (AUC 0.906) for predicting prehospital blood transfusion after motor vehicle trauma, identifying physiologic measures and shock designation as key predictors.
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Paediatric trauma diagnosis accuracy in Swiss HEMS
Multi-centre Swiss HEMS study of 282 paediatric trauma patients found moderate diagnostic accuracy between prehospital and in-hospital diagnoses (Cohen's κ=0.64), with polytrauma underdiagnosed and extremity/pelvic injuries overdiagnosed, and overall survival of 92.2%.
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Community paramedics for paediatric concussion follow-up
Experimental mixed-methods study demonstrated that a Mobile Integrated Health program using community paramedics for paediatric concussion follow-up was feasible and acceptable, with 19% patient enrolment and improvement in Post-Concussion Symptoms Scale scores.
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Indirect ICU admissions from Australian ED
Australian observational study found indirect ICU admissions (ED admission to non-critical care ward requiring ICU transfer within 24 hours) accounted for 11.3% of ED-to-ICU admissions, with circulatory insufficiency as the most common reason and hospital mortality of 12.8%.
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First responders don't shift OHCA survival
Retrospective cohort testing whether community first responder attendance improves OHCA survival in North East England — it didn't, with survival to discharge essentially unchanged (9.6% vs 10.2%, p=0.797) after Utstein adjustment.
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Sedating CPR-induced consciousness: no answers
Systematic review asking whether pharmacological management of CPR-induced consciousness in prehospital cardiac arrest affects mortality — only two Australian cohort studies were found, and medicated patients had lower survival, though the evidence is too confounded to act on.
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Paralysing post-ROSC patients prehospital
UK cohort of advanced paramedics in critical care giving neuromuscular blockade to post-ROSC patients poorly tolerating the tube — 99 patients over a year, all PGD indications met, with no adverse physiological trends in sats, end-tidal CO2, MAP or heart rate.
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HART paramedics delivering lyophilised plasma
UK service evaluation of hazardous area response team paramedics delivering lyophilised plasma under a major haemorrhage protocol — 17 patients received 30 units over 12 months with full protocol authorisation, low wastage (3.1%) and no safety incidents.
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Caller triage score for paediatric breathing calls
Development of the PREP score, a caller-reported decision-support tool for children aged 0-4 with breathing problems in a Welsh dispatch system — moderate discrimination (AUC 0.73) with high negative predictive value (93%) for identifying low-risk calls.
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What makes paramedic teleconsultation work
Qualitative study of 12 UK critical care and clinical advisory paramedics on teleconsultation — its effectiveness hinges on a 'teleconsultation competence gap' in training, organisational culture and whether governance feels punitive rather than supportive.
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Paramedics working in UK general practice
Survey of 37 paramedics employed in Cornwall general practices — all saw urgent patients in clinic or at home, 38% were non-medical prescribers, and 13 different job titles were in use, highlighting unclear employment and training models.
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Pregnancy and return-to-work guidance for prehospital staff
UK Faculty of Pre-hospital Care guidelines on pregnancy, maternity and return to work — every prehospital organisation should run individualised risk assessments, support maternal choice and offer personalised return-to-work programmes.